正常糖耐量孕妇年龄、体质指数及血脂水平对新生儿体重的影响  

Impact of the age,the body mass index and the blood lipid level of pregnant women with normal glucose tolerance on their neonatal birth weight

作　　者：郑晓青 江燕 ZHENG Xiaoqing;JIANG Yan(The First People's Hospital of Linping District,Hangzhou,Zhejiang Province,311100)

机构地区：[1]浙江省杭州市临平区第一人民医院,311100

出　　处：《中国计划生育学杂志》2025年第4期976-979,共4页Chinese Journal of Family Planning

摘　　要：目的:分析糖耐量正常孕妇年龄、体质指数(BMI)及血脂水平对新生儿体重的影响。方法:回顾性收集2023年1月-2024年6月本院产前检查糖耐量正常的产妇临床资料,按照新生儿出生体重分为巨大儿组68例、对照组136例,分析两组一般资料、血清血脂水平,利用logistic回归方程分析孕妇年龄、BMI及血脂水平与巨大儿发生关系。结果:巨大儿组年龄、BMI大于对照组,剖宫产分娩发生率高于对照组(P<0.05),两组经产妇占比、分娩孕周、新生儿性别无差异(P>0.05);巨大儿组Q1(年龄≤28岁)、Q2(28岁<年龄≤33岁)占比低于对照组,Q3(33岁<年龄≤38岁)、Q4(年龄>38岁)占比高于对照组(P<0.05);巨大儿组血清TC、TG水平高于对照组(P<0.05),血清HDL、LDL水平两组无差异(P>0.05);产前BMI大、年龄>38岁、血清TC升高、TG升高是糖耐量正常孕妇巨大儿发生的独立危险因素(P<0.05)。结论:对糖耐量正常的孕妇,应密切关注高龄、高BMI、高TC、高TG水平情况,避免巨大儿发生风险。Objective:To analyze the impact of the age,the body mass index(BMI)and the blood lipid level of pregnant women with normal glucose tolerance on their neonatal birth weight.Methods:The clinical data of the pregnant women with the normal glucose tolerance from January 2023 to June 2024 were collected retrospectively.The women were divided into two groups,including 68 women with macrosomia in group A and 136 women without macrosomia in group B based on their neonatal birth weight.The general information and the serum lipid level of the pregnant women in the two groups were analyzed.Logistic regression equation was used to analyze the correlation between the age,the BMI and the blood lipid level of the women and their macrosomia occurrence.Results:The age,the BMI value,and the incidence of cesarean section of the women in group A were significantly higher than those of the women in group B(P<0.05).There were no significant differences in the proportion of multipara,the gestational weeks at delivery and the gender of newborns of the women between the two groups(P>0.05).The proportions of the women with the age≤28 years old and women with 2838 years old were significantly higher than those of the women in group B(P<0.05).The levels of the serum TC and TG of the women in group A were significantly higher than those of the women in group B(P<0.05),and the serum levels of HDL and LDL of the women in group A had no significantly different from those of the women in group B(P>0.05).The high prenatal BMI,the age>38 years old and the increased serum TC and TG levels of the pregnant women with the normal glucose tolerance were the independent risk factors of their macrosomia occurrence(P<0.05).Conclusion:The advanced age,the high BMI value,the high levels of TC and TG of the pregnant women with the normal glucose tolerance should be paid to close attention to,so as to avoid the risk of their macrosomia occurrence.

关 键 词：巨大儿 年龄 体质指数 血脂 危险因素 

分 类 号：R714.2[医药卫生—妇产科学] R714.7[医药卫生—临床医学]