妊娠糖尿病患者糖化血红蛋白水平与母亲体重指数和新生儿体质量及母婴结局的关系

The relationship between the level of glycosylated hemoglobin in patients with gestational diabetes and maternal body mass index,newborn weight,and maternal and infant outcome

目的探究妊娠糖尿病患者糖化血红蛋白水平与母亲体重指数(BMI)、新生儿体质量及母婴结局的关系。方法选取2018年10月至2019年11月本院收治的妊娠糖尿病患者76例作为观察组,并选取同期正常孕妇作为对照组。比较两组母亲体重指数、新生儿体质量及母婴结局。结果观察组妊娠前BMI、产前BMI均明显高于对照组,差异有统计学意义(P<0.05)。观察组新生儿出生体质量为(3.81±0.32)kg,明显高于对照组的(3.68±0.28)kg,差异有统计学意义(P<0.05)。观察组FSS、SDS、SAS评分均明显高于对照组,且观察组HbA1c水平明显高于对照组,差异有统计学意义(P<0.05)。观察组不良母婴结局发生率为20.00%,明显高于对照组的8.00%,差异有统计学意义(P<0.05)。结论妊娠糖尿病患者的糖化血红蛋白水平与母亲体重指数、新生儿体质量、母婴结局密切相关,糖化血红蛋白水平升高,会增加患者的疲劳感,导致患者产生各种负性情绪,危及母婴的生命安全。

Objective To explore the relationship between the level of glycosylated hemoglobin in patients with gestational diabetes and maternal body mass index(BMI),newborn weight,and maternal and infant outcome.Methods 76 patients with gestational diabetes admitted to our hospital from October 2018 to November 2019 were selected as the observation group,and normal pregnant women during the same period were selected as the control group.The maternal BMI,newborn weight and maternal and infant outcomes were compared between the two groups.Results The pre-pregnancy BMI and prenatal BMI of the observation group were significantly higher than those of the control group,the difference was statistically significant(P<0.05).The newborn weight in the observation group was(3.81±0.32)kg,which was significantly higher than(3.68±0.28)kg of the control group,the difference was statistically significant(P<0.05).The FSS,SDS,and SAS scores of the observation group were significantly higher than those of the control group,and the HbA1 c level of the observation group was significantly higher than that of the control group,the difference was statistically significant(P<0.05).The incidence of adverse maternal and infant outcomes in the observation group was 20.00%,which was significantly higher than 8.00%in the control group,the difference was statistically significant(P<0.05).Conclusion The level of glycosylated hemoglobin in patients with gestational diabetes is closely related to the maternal BMI,the newborn weight,and maternal and infant outcome.An increase in the level of glycosylated hemoglobin will increase the patient’s sense of fatigue,cause the patient to produce various negative emotions,and endanger the life of the maternal and infant safety.