双胎妊娠孕产妇孕前体重指数及孕期增重与母婴不良结局的相关性  

The Correlation between Pre-pregnancy Body Mass Index,Gestational Weight Gain,and Adverse Maternal and Infant Outcomes in Pregnant Women with Twin Pregnancies

作　　者：李梅 杨芳平 朱丽慈 钟松香 郑剑兰 LI Mei;YANG Fangping;ZHU Lici;ZHONG Songxiang;ZHENG Jianlan(The 73rd Army Hospital of the Chinese People's Liberation Army,Xiamen 361003,China;不详)

机构地区：[1]中国人民解放军陆军第七十三集团军医院,福建厦门361003

出　　处：《中外医学研究》2024年第31期160-164,共5页CHINESE AND FOREIGN MEDICAL RESEARCH

基　　金：厦门市科技计划项目(3502Z20184066)。

摘　　要：目的:观察双胎妊娠孕产妇在孕前后体重指数(BMI)变化情况,并探讨其增重程度与母婴结局的关系。方法:回顾性分析2018年6月—2023年6月在中国人民解放军陆军第七十三集团军医院分娩的140例双绒毛膜双胎妊娠足月分娩的产妇,按照孕前BMI分为低体重组、正常体重组、超重肥胖组;按照孕期增重情况分为增重过少组、增重适宜组、增重过多组,分析各组的母婴不良结局。结果:超重肥胖组增重过多比例与低体重组、正常体重组孕产妇相比明显较高,差异有统计学意义(P<0.05)。超重肥胖组产后出血、妊娠期高血压疾病、妊娠期糖尿病、胎儿窘迫、巨大儿发生率>低体重组>正常体重组,超重肥胖组胎盘早剥发生率>低体重组及正常体重组,超重肥胖组出生体重>正常体重组>低体重组,差异有统计学意义(P<0.05)。增重过多组产后出血、妊娠期糖尿病、妊娠期高血压疾病、胎儿窘迫、巨大儿发生率>增重过少组>增重适宜组,增重过多组胎盘早剥发生率>增重过少组及增重适宜组,增重过多组出生体重>增重适宜组>增重过少组,差异有统计学意义(P<0.05)。结论:孕前BMI超重肥胖者在孕期出现增重过多的风险高于正常体重及体型偏瘦者,会增加不良妊娠结局风险,影响母婴健康。Objective:To observation of body mass index(BMI)changes in pregnant women with twin pregnancies before and after pregnancy,and explore the relationship between weight gain and maternal and infant outcomes.Method:A retrospective analysis was performed on 140 pregnant women with full-term dichorionic twins who delivered in the 73rd Army Hospital of the Chinese People's Liberation Army from June 2018 to June 2023.According to pre-pregnancy BMI,they were divided into low weight group,normal weight group and overweight and obese group.According to the weight gain during pregnancy,they were divided into underweight gain group,appropriate weight gain group and excessive weight gain group,and the adverse outcomes of each group were analyzed.Result:The proportion of excess weight gain in overweight and obese group was significantly higher than that in low weight group and normal weight group,and the difference was statistically significant(P<0.05).The incidence of postpartum hemorrhage,gestational hypertension disease,gestational diabetes,fetal distress and macrosomia in overweight and obese group>low weight group>normal weight group;the incidence of placental abruption in overweight and obese group>low weight group and normal weight group;the birth weight in overweight and obese group>normal weight group>low weight group,and the differences were statistically significant(P<0.05).The incidence of postpartum hemorrhage,gestational diabetes mellitus,gestational hypertension disease,fetal distress and macrosomia in the excessive weight gain group>the underweight gain group>the appropriate weight gain group;the incidence of placental abruption in the excessive weight gain group>the underweight group and the appropriate weight group;the birth weight in the excessive weight gain group>the appropriate weight gain group>the underweight gain group,the differences were statistically significant(P<0.05).Conclusion:The risk of excess weight gain during pregnancy in overweight and obese people is higher than that in normal weight and

关 键 词：双胎妊娠 孕前体重指数 孕期增重 围产母婴结局 

分 类 号：R714.23[医药卫生—妇产科学]