孕妇血糖与新生儿体重的相关性分析

Analysis of the relationship between pregnant women blood glucose and neonatal weight

目的 探讨孕妇空腹血糖与新生儿体重的相关性。方法 对 2 6 1例孕妇 ,均于妊娠 2 4 - 2 8周检测空腹血糖 ,并行葡萄糖耐量试验 (OGTT)。按新生儿体重分为 5组 ,以此分析各组新生儿体重与孕妇血糖之间的相关程度以及分娩方式。结果 孕妇血糖均值 ,各组间差别无显著性意义 (P >0 .0 5 ) ;新生儿体重 ,各组之间差别均有显著性意义 (P <0 .0 5 ) ;孕妇血糖与新生儿体重存在正相关关系r=0 .76 1(P <0 .0 5 )。胎儿体重与分娩方式的结局有关 ,剖宫产率由 1组到 5组逐渐升高 ,1组、2组分别与 3、4、5组间差别均有非常显著性意义 (P <0 .0 1)。结论孕妇血糖与新生儿体重存在正相关关系。为提高围产期保健质量 ,防止巨大儿的发生 ,建议对孕妇进行动态血糖测定分析 。

Objective To explores the relationship between pregnant women fasting glucose and neonatal weight.Methods Fasting glucose and OGTT were detected in order to analysis neonatal weight of each group with the related degree of pregnant women blood glucose and delivery route with gestation period 24-28w in 261 pregnant women, which were divided into five groups according to neonatal weight. ResultsThere was no significant difference(P>0.05) in the each group of mean value of pregnant women blood glucose. There was significantly difference(P<0.05) in each group of neonatal weight. Pregnant women blood glucose and neonatal weight showed statistically significant positive correlation r=0.761(P<0.05). Neonatal weight is related to the delivery route outcome. The rate of cesarean section gradually increased from Group1 to Group5. Significantly difference(P<0.01) was shown between group1&2 and group3, 4&5.Conclusion Pregnant women blood glucose and neonatal weight showed significant positive correlation. Dynamic blood glucose analysis of pregnant women was suggested to improve perinatal care quality and prevent happening of macrosomia, OGTT detected when it is necessary.