论文部分内容阅读
目的观察妊娠期糖尿病(GDM)合并肥胖或者单一GDM与肥胖出现时对孕妇子痫前期的影响。方法受试者于孕28周左右进行75 g糖耐量试验,之后应用国际妊娠期糖尿病研究协会标准进行诊断,并测试孕妇体质量指数(BMI),通过病历资料统计患者出现子痫前期的情况,将患者分成无GDM,无肥胖;GDM,无肥胖;无GDM,肥胖;GDM合并肥胖四组进行统计分析。结果无GDM、无肥胖出现子痫前期的比例为3.5%;GDM、无肥胖出现子痫前期的比例为5.9%;无GDM、肥胖出现子痫前期的比例为13.3%;GDM合并肥胖出现子痫前期的比例为20.1%。结论产妇的妊娠期糖尿病和肥胖都与子痫前期独立相关,其组合比任何一个单独的因素影响都大。
Objective To observe the effect of gestational diabetes mellitus (GDM) combined with obesity or single GDM and obesity on preeclampsia in pregnant women. Methods Subjects were subjected to 75 g glucose tolerance test at 28 weeks’ gestation, and then diagnosed by the International Association for the Study of Gestational Diabetes Mellitus. The body mass index (BMI) of pregnant women was tested. The incidence of preeclampsia was analyzed by the medical records. Patients were divided into no GDM, no obesity; GDM, no obesity; no GDM, obesity; GDM with obesity in four groups for statistical analysis. Results No GDM, no obesity preeclampsia was 3.5%; GDM, no obesity preeclampsia was 5.9%; no GDM, obesity preeclampsia was 13.3%; GDM with obesity eclampsia The previous ratio was 20.1%. Conclusion Maternal gestational diabetes mellitus and obesity are independently associated with preeclampsia and their combination is more influential than any single factor.