| 李菊萍 刘煊 于超 姜丽英 仲肖静 吴艳萍.妊娠期糖尿病患者妊娠中期体质指数水平对分娩结局的影响[J].,2015,15(24):4729-4731 |
| 妊娠期糖尿病患者妊娠中期体质指数水平对分娩结局的影响 |
| Influence of Medium-TermPregnancy Body Mass Index Level on DeliveryOutcome in Pregnant Women with Diabetes Mellitus |
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| DOI： |
| 中文关键词: 妊娠期糖尿病 体质指数 分娩结局 影响 |
| 英文关键词: Gestational diabetes mellitus Body mass index Delivery outcome Influence |
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| 中文摘要: |
| 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。 |
| 英文摘要: |
| Objective:To study the influence of medium-termpregnancy 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 fromJanuary 2012 to November 2014, were divided into 3 groups according to the medium-term pregnancy
BMI level, fromlow 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. |
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