妊娠期糖尿病孕妇分娩巨大儿的影响因素分析

Analysis of Factors Influencing the Delivery of Gestational Diabetes in Pregnant Women

目的分析妊娠期糖尿病孕妇分娩巨大儿的影响因素。方法挑选2017年12月—2018年12月来该院接受常规孕检且住院分娩的健康孕妇80名作为对照组,经妊娠期糖筛查与口服葡萄糖耐量试验(OGTT)显示血糖没有上升。选择同期来该院接受常规孕检且住院分娩的妊娠期糖尿病孕妇80例作为观察组。统计分析妊娠期糖尿病孕妇分娩巨大儿的影响因素。结果观察组发生巨大儿的机率远高于对照组(P<0.05)。单因素分析发现引发巨大儿出现的相对危险因素为空腹血糖、胆固醇、胰岛素、孕期体重上升。多因素分析表明,引发巨大儿出现的主要危险因素是空腹血糖、胆固醇、胰岛素。结论妊娠期糖代谢异常的孕妇应当重视监测与管理孕期体重与空腹血糖水平,以降低巨大儿的出现率,改善不良妊娠结局。

Objective To analyze the influencing factors of delivery of gestational diabetes in pregnant women. Methods Eighty healthy pregnant women who received routine pregnancy tests and were hospitalized in our hospital from December 2017 to December 2018 as the control group. The glucose screening and oral glucose tolerance test (OGTT) showed no increase in blood glucose. 80 pregnant women with gestational diabetes who received routine pregnancy tests and were hospitalized during the same period were selected as the observation group. Statistical analysis of the factors influencing the delivery of gestational diabetes in pregnant women. Results The probability of a large child in the observation group was much higher than that in the control group (P<0.05). Univariate analysis found that the relative risk factors for the emergence of large children were fasting blood glucose,cholesterol,insulin,and weight gain during pregnancy. Multivariate analysis showed that the main risk factors for the emergence of giant children were fasting blood glucose,cholesterol,and insulin. Conclusion Pregnant women with abnormal glucose metabolism during pregnancy should pay attention to monitoring and managing pregnancy weight and fasting blood glucose levels to reduce the incidence of macrosomia and improve the outcome of adverse pregnancy.