摘要
目的探讨孕前体质指数(BMI)及孕期体质指数增长幅度(△BMI)与妊娠并发症及新生儿结局的关系。方法将2014年12月至2015年12月在安徽医科大学第一附属医院产检并住院分娩的1 261例产妇按孕前BMI分为消瘦、正常、超重及肥胖组,按孕期△BMI分为△BMI<3.8 kg/m2组(A组)、3.8 kg/m^2≤△BMI<7.5 kg/m^2组(B组)和△BMI≥7.5 kg/m^2组(C组),分析比较各组妊娠并发症及新生儿结局的情况。结果超重及肥胖组的妊娠高血压综合征(PIH)、妊娠期糖尿病(GDM)、剖宫产、巨大儿的发生率均高于正常及消瘦组(P<0.05);C组的PIH、GDM、剖宫产、巨大儿的发生率均高于A及B组(P<0.05);消瘦组及A组早产率、低体质量儿发生率高于其他各组(P<0.05);在消瘦、正常、超重及肥胖组和A、B、C组的胎膜早破、产后出血发生率差异无统计学意义(P>0.05)。结论孕妇体质量是妊娠并发症及新生儿结局的重要影响因素,临床应重视孕期体质量的增加,将其控制在适宜的范围内。
Objective To investigate the effect of pregnancy body mass index（ BMI） and BMI growth during pregnancy on pregnancy complications and neonatal outcome. Methods The clinical data of 1261 cases admitted to our hospital from December 2014 to December2014 were retrospectively analyzed,the cased were grouped as thin,normal,overweight and obese according to BMI before childbirth,and then were divided into BMI 〈 3. 8 kg/m^2 group（ group A）,3. 8 kg/m^2≤BMI 〈 7. 5 kg/m^2 group（ group B） and BMI≥7. 5 kg/m^2 group（ group C） based on the physique growth index during pregnancy. The pregnancy complications and neonatal outcome of each group were analysed and compared. Results The incidence of pregnancy induced hypertension（ PIH）,gestational diabetes mellitus（ GDM）,cesarean section,macrosomia of overweight and obese group was higher than that of normal and thin group（ P 〈 0. 05）; the incidence of PIH,GDM,cesarean section,macrosomia of Group C was higher than that of group A and B（ P 〈 0. 05）; the incidence of premature birth,low birth weight of thin group and A group was higher than that of other groups（ P 〈 0. 05）; there was no statistically significant difference in the incidence of premature rupture of membranes,postpartum hemorrhage in all groups（ P 〉 0. 05）. Conclusion Weight is one of the most important factors affecting pregnancy complications and neonatal outcome,and attention should be paid to pregnancy weight gain and control in appropriate range.
出处
《安徽医学》
2017年第9期1123-1126,共4页
Anhui Medical Journal
基金
安徽高校自然科学研究重点项目(项目编号:KJ2015A056)
