摘要
目的探讨孕前体重指数(BMI)及孕期增重与妊娠期糖尿病(GDM)患者新生儿出生体质量的关系。方法收集2016年10月1日至2017年10月1日306例妊娠期糖尿病患者足月分娩的完整资料,采用受试者工作曲线(ROC)及回归分析孕前BMI及孕期增重与新生儿出生体质量的关系。结果妊娠期糖尿病患者孕前BMI、孕期增重与新生儿体质量存在相关性(P〈0.01)。孕前BMI预测大于胎龄儿(LGA)及巨大儿的tKOC曲线下面积分别为O.726(95%CI,0.67~0.77和0.792(95%CI,0.74~0.83),Logistic回归归分析提示孕前BMI是新生儿巨大儿的独立危险因素(OR=1.4395%CI:1.20~1.63,P〈0.01)。结论孕前BMI)K孕期增重与妊娠期糖尿病患者新生儿体质量密切相关,对LGA及巨大儿的发生有一定的预测价值。
Objective To study the associations between prepregnancy body mass index and maternal weight gain on the neonatal birth weight with gestational diabetes mellitus. Methods A tolal of 306 pregant women with gestational diabetes mellitus who received antenatal care and delivered in the People' s Hospital of Wenzhou from October 2016 to October 2017 were enrolled in the study. A ROC curve and regression analysis were used to demonstrate the assosiation. Results The neonatal birth weight was significantly associated with maternal BMI and maternal weight gain in women with GDM ( P〈0.01 ) . BMI predicting the LGA and fetal relevant portion of the area under the curve was 0.726 ( 95%CI:0.67~0.77 ) and 0.792 ( 95%CI: 0.74~0.83 ) . Conclusion Maternal prepregnancy BMI is significantly associated with the neonatal birth weight in women with GDM maybe has a predictive value for LGA and macrosomia.
出处
《浙江临床医学》
2018年第8期1363-1364,共2页
Zhejiang Clinical Medical Journal
关键词
体重指数
妊娠期糖尿病
出生体质量
Body mass index
Gestational diabetes mellitus
Neonatal birth weight