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孕期异常体重指数与妊娠结局关系探讨 被引量:10

A probe into the relationship between abnormal boby mass index and outcome of pregnancy
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摘要 目的探讨孕妇孕前及孕期异常体重指数变化对妊娠结局的影响。方法分析1 120例足月单胎初产妇孕前异常体重指数(BMI)、整个妊娠期体重指数异常增长幅度(△BMI)对妊娠结局的影响。结果高BMI组妊娠期高血压疾病、糖代谢异常、巨大儿、剖宫产率和新生儿窒息率明显高于其他两组;低BMI组小于胎龄儿明显高于其他两组。当△BMI>6时妊娠期高血压疾病、糖代谢异常、巨大胎儿、剖宫产率和新生儿窒息率明显高于其他两组,差异有显著性;当△BMI<4时出生小于胎龄儿明显高于其余两组。结论异常的孕前及孕期体重指数变化是孕期并发症和新生儿体重异常的重要影响因素。 Objective To probe into the effects of abnormal body mass index(BMI) changes before and during pregnancy on the outcome of pregnaney. Method To analyze the effects of pre-pregnant abnormal BMI and the abnormal inereasing range of weight index(ΔBMI)during the whole pregnancy for those 1 120 cases of pregnant women of full pregnancy and giving their first birth on the outcome of pregnancy.Result In the group with higher BMI,the frequency of hypertension diseases during pregnancy,abnormal glycometabolism,fetal macrosomia,cesarean section,the rates of neonate aspyxiation were obviously higher than the other two groups;in the group with lower BMI,the rate of neonates with insufficient fetal age was much higher than the other two groups. In case of ΔBMI 〉 6, the rates of hypertension diseases during pregnancy, differences of abnormal glyeometabolism, fetal macrosomia, cesarean section and the rotes of neonate aspyxiafion were obviously higher than the other two groups with significant differences. In case of ΔBMI 〈 4,the birth rate of neonates with insufficient fetal age was much higher than the other two groups. Conclusion Abnormal changes of weight index before and during pregnancy is an important contributory factor to complications in pregnancy and abnormal weight for neonates.
作者 罗彩红
出处 《广西医学》 CAS 2005年第9期1343-1345,共3页 Guangxi Medical Journal
关键词 异常体重指数 妊娠结局 Abnormal body mass index, Outcome of pregnancy
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