摘要
目的:研究妊娠期糖尿病患者妊娠中期体质指数(BMI)水平对妊娠结局的影响。方法:选取2012年1月到2014年11月我院产检诊断为妊娠期糖尿病患者390例,根据患者的妊娠中期BMI水平由低到高依次将患者分为三组:I组119例,II组165例,III组106例,随访所有入选者至分娩,观察其分娩结局。结果:III组妊娠晚期出现巨大胎儿者24例,占22.64%,羊水过多者为26例,占24.53%,显著高于I组和II组,比较差异具有统计学意义(P<0.05);III组出现妊娠期高血压者8例,占7.55%,新生儿窒息者4例,占3.77%,与I组和II组比较差异无统计学意义(P>0.05)。结论:妊娠期糖尿病患者妊娠中期BMI较高者发生巨大儿和羊水过多的比率显著增加,应该适当控制妊娠期糖尿病患者的BMI水平。
Objective： To study the influence of medium-term pregnancy body mass index（BMI） on delivery outcome in pregnant women with diabetes mellitus. Methods： A total of 390 pregnant women with diabetes mellitus, who were given prenatal examinations in People’s Hospital of Penglai from January 2012 to November 2014, were divided into 3 groups according to the medium-term pregnancy BMI level, from low to high： group I（n=119）, group II（n=165） and group III（n=106）. Followed-up All the elected pregnant women were followed up till delivery to observe their delivery outcomes. Results： There were 24（22.64%） macrosomias and 26（24.53%） polyhydramnioses in group III, which were significantly higher than that in group I and II, the differences were statistically significant（P〈0.05）.There were 8（7.55%） hypertensives and 4（3.77%） neonatal asphyxias in group III, which had no statistically significant differences compared with group I and II（P〉0.05）. Conclusion： The incidence rates of macrosomia and polyhydramnios in pregnant women with diabetes mellitus, with a higher medium-term pregnancy BMI level, significantly increase, so the BMI level of pregnant women with diabetes mellitus should be properly controlled.
出处
《现代生物医学进展》
CAS
2015年第24期4729-4731,共3页
Progress in Modern Biomedicine
关键词
妊娠期糖尿病
体质指数
分娩结局
影响
Gestational diabetes mellitus
Body mass index
Delivery outcome
Influence
