孕期体脂率和甘油三酯水平与妊娠期糖尿病的关系

Relationship between body fat rate and triglyceride level during pregnancy and diabetes mellitus during pregnancy

目的探究孕期体脂率(PBF)和甘油三酯(TG)水平与妊娠期糖尿病(GDM)的关系,总结其对GDM的预测价值。方法选取200例GDM孕妇作为观察组,另选取同期产检的孕妇200例为对照组。比较两组孕妇PBF、血糖、血脂水平。结果观察组孕妇的PBF、脂肪质量指数(FMI)、空腹血糖(FPG)、1h血糖、2h血糖指标均显著高于对照组(P<0.05)。观察组孕妇的总胆固醇(TC)TG、低密度脂蛋白胆固醇(LDL-C)指标明显较对照组更高,高密度脂蛋白胆固醇(HDL-C)指标低于对照组(P<0.05)。结论孕期PBF、TG水平的高低与GDM的发生风险有关系,数值越高,其发病风险越高,且两者会产生协同效果,联合检测对GDM的预测价值较高,值得临床推广。

Objective To explore the relationship between body fat percentage(PBF)and triglyceride(TG)level during pregnancy and gestational diabetes mellitus(GDM),and to summarize their predictive value for GDM.Methods 200 GDM pregnant women were selected as the observation group,and another 200 pregnant women were selected as the control group.The levels of PBF,blood glucose and blood lipid were compared between the two groups.Results The indexes of PBE,fat mass index(FMI),fasting blood glucose(FPG),1 h blood glucose and 2 h blood glucose in observation group were significantly higher than those in control group(P<0.05).The indexes of total cholesterol(TC),TG and low density lipoprotein cholesterol(LDL-C)in the observation group were significantly higher than those in the control group,and the indexes of high density lipoprotein cholesterol(HDL-C)were lower than those in the control group(P<0.05).Conclusion The levels of PBF and TG during pregnancy are related to the risk of GDM.The higher the value,the higher the risk of GDM,and the two will have a synergistic effect.Combined detection has a high predictive value of GDM and is worthy of clinical promotion.