孕中晚期妊娠糖尿病产妇增重速率与妊娠结局的相关性分析  

Correlation analysis of weight gain rate and pregnancy outcome in pregnant women with gestational diabetes mellitus in the second and third trimester

作　　者：王月姿 Wang Yue-zi(Department of Obstetrics and Gynecology,Yucheng People's Hospital,Yucheng 476300,Henan,China)

机构地区：[1]虞城县人民医院妇产科,河南虞城476300

出　　处：《四川生理科学杂志》2024年第11期2567-2569,共3页

摘　　要：目的:探讨妊娠糖尿病孕中晚期增重速率对妊娠结局的影响。方法:回顾性收集2020年12月至2023年10月期间本院收治的65例妊娠糖尿病患者的临床资料。根据患者孕中晚期增重速率分为过慢组(20例)、正常组(26例)和过快组(19例)。比较三组的基线资料,分析孕中晚期增重速率对妊娠糖尿病患者妊娠结局的影响。结果:孕中晚期正常组的身高、最后一次产检腹围均显著高于孕中晚期过慢组,但显著低于孕中晚期过快组(P<0.05)。孕中晚期过慢组的最后一次产检腹围、最后一次产检宫高、身高均显著低于孕中晚期过快组(P<0.05)。孕中晚期正常组的产后出血发生率显著低于孕中晚期增重速率过慢组及过快组,早产儿发生率显著高于孕中晚期过快组,巨大胎儿发生率显著低于孕中晚期过快组(P<0.05)。孕中晚期过慢组巨大胎儿发生率显著低于孕中晚期过快组,早产儿发生率显著高于孕中晚期过快组(P<0.05)。Logistic回归分析显示,孕中晚期增重速率过慢、过快是产后出血的影响因素,孕中晚期增重速率过快是巨大胎儿的影响因素(OR>1,P<0.05);孕中晚期增重速率过快是早产儿的影响因素(OR<1,P<0.05)。结论:妊娠糖尿病患者孕中晚期增重速率对产后出血、巨大胎儿、早产儿具有一定影响。Objective:To investigate the effect of weight gain rate in the second and third trimester of gestational diabetes mellitus on pregnancy outcome.Methods:The clinical data of 65 patients with gestational diabetes mellitus admitted to our hospital from December 2020 to October 2023 were retrospectively collected.According to the weight gain rate of the patients in the middle and late pregnancy,they were divided into too slow group(20 cases),normal group(26 cases)and too fast group(19 cases).The baseline data of the three groups were compared to analyze the effect of weight gain rate in the second and third trimesters on pregnancy outcomes in patients with gestational diabetes mellitus.Results:The height and abdominal circumference of the normal group were significantly higher than those of the slow group,but significantly lower than those of the fast group(P<0.05).The abdominal circumference,uterine height and height of the last prenatal examination in the slow pregnancy group were significantly lower than those in the fast pregnancy group(P<0.05).The incidence of postpartum hemorrhage in the normal group was significantly lower than that in the slow weight gain group and the fast weight gain group,the incidence of premature infants was significantly higher than that in the fast weight gain group,and the incidence of giant fetus was significantly lower than that in the fast weight gain group(P<0.05).The incidence of giant fetus in the slow pregnancy group was significantly lower than that in the fast pregnancy group,and the incidence of premature infants was significantly higher than that in the fast pregnancy group(P<0.05).Logistic regression analysis showed that too slow or too fast weight gain rate in the middle and late pregnancy was the influential factor of postpartum hemorrhage,and too fast weight gain rate in the middle and late pregnancy was the influential factor of giant fetus(OR>1,P<0.05).Rapid weight gain rate in the second and third trimesters was a factor affecting premature infants(OR<1,P<0.05).Concl

关 键 词：妊娠糖尿病 孕中晚期增重速率 妊娠结局 

分 类 号：R714.256[医药卫生—妇产科学]