摘要
目的:分析孕前体质量指数与妊娠期糖尿病风险及围生期结局的关系。方法:对2017年1月~2019年12月我院收治的196例围生期孕产妇临床资料进行分析,根据孕前BMI标准分为正常体重组126例(BMI:≥18.5且<25kg/m^(2)),超重组43例(BMI:≥25kg/m^(2))极低体重组27例(BMI:<18.5kg/m^(2))。收集孕产妇临床资料,并分析各组分娩情况、发生妊娠期糖尿病风险率及影响产妇围生期结局相关因素。结果:196例孕妇中足月顺利生产孕妇137例,不良妊娠结局孕妇59例;超重组孕妇出现早产、胎儿窘迫、畸形、死胎及妊娠糖尿病风险率明显高于极低体重组、正常体重组,正常体重组、极低体重组足月顺利生产、不良妊娠结局及患妊娠糖尿病风险率比较无明显差异经非条件多因素Logistic回归模型显示:孕妇孕前体重≥25kg/m^(2)、羊水过多、孕期存在心脏病、高血压及GDM是影响不良妊娠结局的独立危险因素。结论:孕妇孕前体重≥25kg/m^(2)是影响不良妊娠结局的独立危险因素,BMI过高孕妇妊娠糖尿病风险率较高,在临床上应重视危险因素,综合评估孕产妇BMI水平,降低围生期孕产妇不良妊娠结局发生率。
Objective To analyze the relationship between the pre-pregnancy body mass index and the risk of gestational diabetes mellitus and perinatal outcomes.Method The clinical data of 196 perinatal pregnant women admitted to our hospital from January 2017 to December 2019 were analyzed.According to the BMI standard before pregnancy,they were divided into normal body group,126 cases(BMI:≥18.5 and<25kg/m^(2)),overweight group,43 cases(BMI:≥25kg/m^(2))and very low weight group,27 cases(BMI:<18.5kg/m^(2)).The clinical data of the pregnant women were collected,and the delivery conditions,the risk rate of gestational diabetes mellitus and the related factors affecting the perinatal outcome of the pregnant women in each group were analyzed.Results According to statistics,among 196 pregnant women,there were 137 pregnant women who gave birth successfully at full term and 59 pregnant women with adverse pregnancy outcomes.The risk rate of premature delivery,fetal distress,deformity,stillbirth and gestational diabetes mellitus in overweight group is significantly higher than that of very low weight group and normal body group.There was no significant difference between very low weight group and normal body group in the full-term smooth birth,adverse pregnancy outcomes,and risk of gestational diabetes mellitus.The unconditional multi-factor Logistic regression model showed that the weight of pregnant women before pregnancy≥25kg/m^(2),polyhydramnios,the presence of heart disease during pregnancy,hypertension and GDM are independent risk factors that affect the adverse pregnancy outcome.Conclusion Pregnant women’s pre-pregnancy weight≥25kg/m^(2)is an independent risk factor that affects adverse pregnancy outcomes.Pregnant women with a high BMI have a high risk of gestational diabetes mellitus.In clinical practice,attention should be paid to risk factors.The BMI level of pregnant women is comprehensively evaluated to reduce the incidence of adverse pregnancy outcomes of perinatal pregnant women.
作者
叶小红
陈子露
彭江英
余凤华
Ye Xiao-hong;Chen Zi-lu;Peng Jiang-ying;Yu Feng-hua(Department of Obstetrics and gynecology,The Eighth Hospital of Wuhan,Wuhan 430010,China)
出处
《湖南师范大学学报（医学版）》
2021年第6期261-264,共4页
Journal of Hunan Normal University(Medical Sciences)
关键词
孕前体质量指数
妊娠期糖尿病
围生期结局
分析
pre-pregnancy body mass index
gestational diabetes
perinatal outcomes
analysis
作者简介
通讯作者:叶小红,E-mail:1471501481@qq.com
