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

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(P0.05);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(P0.05)。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。

Influence of Medium-TermPregnancy Body Mass Index Level on Delivery Outcome in Pregnant Women with Diabetes Mellitus

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.