妊娠期糖尿病孕妇孕期体重指数增长对妊娠结局的影响临床分析

Clinical Analysis of Effect of BMI Increase of Gestational Diabetes Delivery Women during the Pregnancy on the Gestational Outcome

目的该文将对妊娠期糖尿病孕妇孕期体重指数增长对妊娠结局的影响进行临床分析,从而有效维持妊娠期糖尿病孕妇孕妇体重,减少妊娠不良结局的发生。方法选取2017年4月—2018年4月该院接收的750例孕妇中诊断为妊娠期糖尿病的85例孕妇作为此次实验研究对象,采用回顾分析方法,对该院85例患妊娠期糖尿病的孕妇进行分组,根据孕妇24周到分娩前孕妇体重指数增长情况,将患者分为3组,对比3组患者体重指数增长对妊娠结局的影响。结果 C组患者体重指数增长(5.41±0.3)kg/m^2显著高于A组(2.46±0.3)kg/m^2与B组(3.84±0.3)kg/m^2,妊娠终止时间(37.8±1.0)周短于A组(39.5±1.0)周与B组(40.2±1.0)周;3组患者胎膜早破、羊水过多并发症发生并差异无统计学意义(P>0.05);B组与C组患者子痫前期、早产、胎儿窘迫并发症发生显著高于A组;3组围产儿窒息、湿肺并发症发生情况差异无统计学意义(P>0.05);低血糖、低体重儿以及巨大儿并发症B组与C组明显高于A组。结论妊娠期糖尿病孕妇体重指数增长,对妊娠结局有一定影响,提升不良妊娠结局的发生情况,临床需要对妊娠期糖尿病孕妇进行有效治疗,维持正常血糖,控制体重增长,从而确保母婴安全。

Objective To analyze the effect of BMI increase of gestational diabetes delivery women during the pregnancy on the gestational outcome thus effectively maintaining the weight of delivery women with gestational diabetes and reduce the occurrence of gestational adverse outcomes. Methods Of 750 cases of delivery women admitted and treated in our hospital from April 2017 to April 2018, 85 cases of delivery women with gestational diabetes were selected, and the patients were divided into three groups according to the BMI increase in 24 week to before delivery, and the effect of BMI increase on the gestational outcome was compared. Results The BMI in the group C was obviously higher than that in the group A, and in the group B, [（5.41±0.3）kg/m^2 vs （2.46±0.3）kg/m^2, （3.84±0.3）kg/m^2], and the gestational termination time was shorter than that in the group A and in the group B[（37.8±1.0）weeks vs （39.5±1.0）weeks, （40.2±1.0）weeks], and the difference in the occurrence of premature rupture of membranes and amniotic fluid between the two groups was not statistically signficant （P〉 0.05）, and the occurrence of preeclampsia, premature delivery, fetal distress in the group B and in the group C was obviously higher than that in the group A, and the difference in the occurrence of perinatal asphyxia and transient tachypnea among the three groups was not statistically significant（P〉0.05）, and the hypoglycemia, low birth weight infants and macrosomia in the group B and in the group C were obviously higher than those in the group A. Conclusion The BMI increase of gestational diabetes delivery women has a certain effect on the gestational outcome, which can improve the occurrence of adverse gestational outcome, and conduct the effective treatment of gestational diabetes delivery women in clinic, maintain the normal blood glucose and control the weight increase thus ensuring the maternal and infant safety.