孕前及孕期体质量增加与产科并发症的关系分析

田华

（中国兵器工业五二一医院产二科，陕西 西安，710065）

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摘要：

目的 探讨孕前及孕期体质量增加与产科并发症的关系。方法 选取我院2014年1月至2016年7月收治的410例初产妇资料，按孕前BMI将其分为A组314例（BMI<23 kg/m2）和B 组96 例（BMI≥23 kg/m2）；再根据孕期体质量增加分为<15 kg 组（129例）、15~20 kg 组（179例）和>20 kg 组（102例），分别比较各组孕妇体质量与产科并发症（妊娠期高血压、妊娠期糖尿病、巨大儿及产程阻滞）的发生情况。结果 B组产科并发症的发生率显著高于A 组（P<0.05）；孕期体质量增加>20 kg 组产科并发症的发生率显著高于15~20 kg组和<15 kg 组（P<0.05），且15~20 kg组显著高于<15 kg 组（P<0.05）。结论 控制孕前及孕期体质量可降低产科并发症的发生率，改善妊娠结局。

关键词：孕前体质指数；孕期体质量增加；产科并发症

中图分类号：R714文献标志码：A文章编号：2096-1413(2017)18-0138-02

Analysis of relationship between obstetric complications and BMI before pregnancy

and weight gain during pregnancy
TIAN Hua
(No. 2 Department of Obstetrics, Chinese Weapon Industry 521 Hospital, Xi``an 710000, China)

ABSTRACT: Objective To study the relationship between obstetric complications and BMI before pregnancy and weight gain during pregnancy. Methods Four hundred and ten cases of primipara in our hospital from January 2014 to July 2016 were selected, which were divided into 314 cases in group A (BMI<23 kg/m2) and 96 cases in group B (BMI≥23 kg/m2) according to the pre pregnancy BMI. All the pregnant woman were divided into <15 kg group (129 cases), 15-20 kg group (179 cases) and >20 kg group (102 cases) according to the weight gain during pregnancy. The weight of pregnant women with obstetric complications (gestational hypertension, gestational diabetes, macrosomia and birth process block) occurrence were compared among the groups. Results The incidence of obstetric complications in group B was significantly higher than that in group A (P<0.05). The incidence of obstetric complications of pregnancy weight gain of >20 kg group were significantly higher than that in 15 -20 kg group and <15 kg group respectively (P<0.05), and 15 -20 kg group was significantly higher than that of <15 kg group (P<0.05). Conclusion Control pre-pregnancy and gestational weight can reduce the incidence of obstetric complications and improve pregnancy outcome.
KEYWORDS: BMI before pregnancy; weight gain during pregnancy; obstetric complications

参考文献：
[1] 钱海,于珊,段明英.孕妇体重指数对母婴预后的影响[J].中国妇幼保健,2015,21(9):1260-1262.
[2] 燕素英,王素萍.孕前及孕期体重增加与产科并发症关系的分析 [J].长治医学院学报,2010,24(3):209-211.
[3] 刘学军,张春霞.孕前体重与妊娠结局的关系[J].泰山医学院学报,2004,25(5):403-405.
[4] 赵俭,刘赛,张艳.孕妇孕期体质量增加于妊娠期高血压疾病发病情况的分析[J].中国医药指南,2013,11(11):1121-1122.
[5] 张艳.孕妇体重指数及孕期体重增长与妊娠结局的关系的研究[J]. 哈尔滨医药,2012,32(6):482-483.
[6] 梁艳,徐先明.妊娠期糖尿病与妊娠期高血压疾病相关性的研究与进展[J].现代妇产科进展,2007,16(12):939-941.
[7] 李宝娟,董玲.妊娠期糖尿病危险因素的研究进展[J].国际妇产科学杂志,2013,40(6):504-506.
[8] 黄静,卢洁,林先婷.孕前体重指数及孕期体重增加与妊娠期糖尿病的关系剖析[J].齐齐哈尔医学院学报,2010,31(22):3544-3545.