孕妇孕期血糖与体重及C反应蛋白的关系探讨

Discussion on Relation between Pregnant Women's Glucose and Weight and C-reactive Protein

[目的]探讨孕妇孕期血糖与体重及C反应蛋白的关系。[方法]分组整理分析1356例足月单胎分娩孕妇,按体重指数(BMI)、孕期体重增加及C反应蛋白不同分组,运用统计学方法分析整理孕期血糖升高与不同分组间的关系。[结果]超重组与肥胖组孕早期空腹血糖、糖筛查(GCT)、葡萄糖耐量异常(IGT)、妊娠期糖尿病(GDM)比例均明显高于正常组(P<0.05)。按孕期体重绝对值增加幅度分组,B组的GCT、C组的GCT、IGT、GDM比例均明显高于A组,有统计学意义(P<0.05)。而B组的孕早期空腹血糖、IGT、GDM以及C组的孕早期空腹血糖与A组相比无明显差异(P>0.05)。按孕期C反应蛋白浓度分组,E组与F组孕早期空腹血糖、GCT、IGT、GDM比例均明显高于D组(P<0.05)。[结论]孕妇孕前体重指数、孕期体重增加及CRP与孕期血糖有重要关系,对孕前高BMI的孕妇应加强监护。

[Objective]To discuss the relation between pregnant women's glucose and weight and C-reactive protein.[Method] Group and analyse 1356 cases of mature single birth by BMI,weight increment and C-reactive protein,sum up the relation between increased glucose and groups.[Result] The fasting blood glucose,GCT,IGT and GDM are much higher in over-weight group and fat group than normal group;under absolute increased weight,the GCT in group B,GCT,IGT,GDM ratio in group C much higher than group A,with statistical meaning.While there's no marked difference on fasting blood glucose,IGT and GDM of group B and group C.Under C-reactive protein grouping,the fasting blood glucose,GCT,IGT and GDM ratio of groups E and F are higher than group D.[Conclusion] The early pregnant women's weight index,increased weight are related with CRP and glucose;we shall prevent high BMI for pregnant women in early stage.