Chinese General Practice ›› 2022, Vol. 25 ›› Issue (29): 3621-3626.DOI: 10.12114/j.issn.1007-9572.2022.0410
• Article • Previous Articles Next Articles
Received:
2022-03-12
Revised:
2022-06-20
Published:
2022-10-15
Online:
2022-07-21
Contact:
Wensheng HU
About author:
通讯作者:
胡文胜
作者简介:
基金资助:
Add to citation manager EndNote|Ris|BibTeX
URL: https://www.chinagp.net/EN/10.12114/j.issn.1007-9572.2022.0410
妊娠期体质量状况 | 妊娠前BMI (kg/m2) | 总增重范围(kg) | 孕中晚期增重速率(kg/周) |
---|---|---|---|
低体质量 | <18.5 | 11.0~16.0 | 0.46(0.37,0.56) |
正常体质量 | 18.5~23.9 | 8.0~14.0 | 0.37(0.26,0.46) |
超重 | 24.0~27.9 | 7.0~11.0 | 0.30(0.22,0.37) |
肥胖 | ≥28.0 | 5.0~9.0 | 0.22(0.15,0.30) |
Table 1 The recommended range of weight gain during pregnancy and value of weight gain per week in second and third trimesters
妊娠期体质量状况 | 妊娠前BMI (kg/m2) | 总增重范围(kg) | 孕中晚期增重速率(kg/周) |
---|---|---|---|
低体质量 | <18.5 | 11.0~16.0 | 0.46(0.37,0.56) |
正常体质量 | 18.5~23.9 | 8.0~14.0 | 0.37(0.26,0.46) |
超重 | 24.0~27.9 | 7.0~11.0 | 0.30(0.22,0.37) |
肥胖 | ≥28.0 | 5.0~9.0 | 0.22(0.15,0.30) |
组别 | 例数 | 年龄(岁) | 产次(次) | 身高(cm) | 分娩孕周(周) | 妊娠前体质量(kg) | 最后一次产检宫高(cm) | 最后一次产检腹围(cm) |
---|---|---|---|---|---|---|---|---|
增重速率过慢组 | 115 | 31.7±4.3 | 1.4±0.5 | 158.6±5.3 | 38.3±2.0 | 55.5±7.9 | 34.0±2.2 | 98.9±5.4 |
增重速率正常组 | 152 | 30.6±3.9 | 1.4±0.5 | 160.5±4.9a | 38.6±1.6 | 55.8±7.8 | 34.1±1.7 | 99.4±5.3 |
增重速率过快组 | 103 | 30.7±4.7 | 1.5±0.6 | 160.9±5.2a | 38.6±1.4 | 59.6±8.6ab | 35.0±2.4ab | 103.8±6.2ab |
F值 | 2.183 | 1.796 | 6.351 | 1.644 | 6.709 | 8.295 | 25.394 | |
P值 | 0.114 | 0.167 | 0.002 | 0.195 | 0.001 | <0.001 | <0.001 |
Table 2 Comparison of characteristics of GDM women by gestational weight gain rate in second and third trimesters
组别 | 例数 | 年龄(岁) | 产次(次) | 身高(cm) | 分娩孕周(周) | 妊娠前体质量(kg) | 最后一次产检宫高(cm) | 最后一次产检腹围(cm) |
---|---|---|---|---|---|---|---|---|
增重速率过慢组 | 115 | 31.7±4.3 | 1.4±0.5 | 158.6±5.3 | 38.3±2.0 | 55.5±7.9 | 34.0±2.2 | 98.9±5.4 |
增重速率正常组 | 152 | 30.6±3.9 | 1.4±0.5 | 160.5±4.9a | 38.6±1.6 | 55.8±7.8 | 34.1±1.7 | 99.4±5.3 |
增重速率过快组 | 103 | 30.7±4.7 | 1.5±0.6 | 160.9±5.2a | 38.6±1.4 | 59.6±8.6ab | 35.0±2.4ab | 103.8±6.2ab |
F值 | 2.183 | 1.796 | 6.351 | 1.644 | 6.709 | 8.295 | 25.394 | |
P值 | 0.114 | 0.167 | 0.002 | 0.195 | 0.001 | <0.001 | <0.001 |
组别 | 例数 | 妊娠期高血压疾病 | 妊娠期甲状腺功能减退症 | 妊娠期肝内胆汁淤积症 | 妊娠期肝功能损害 | 胎膜早破 | 羊水异常 | 高脂血症 |
---|---|---|---|---|---|---|---|---|
增重速率过慢组 | 115 | 6(5.3) | 14(12.2) | 3(2.6) | 4(3.5) | 25(21.7) | 3(2.6) | 8(7.0) |
增重速率正常组 | 152 | 2(1.3) | 17(11.2) | 6(3.9) | 4(2.6) | 29(19.1) | 7(4.6) | 5(3.3) |
增重速率过快组 | 103 | 9(8.7)b | 24(23.3)ab | 0 | 4(3.9) | 11(10.7)a | 7(6.8) | 12(11.7)b |
χ2值 | 5.844 | 8.077 | 4.198 | 0.489 | 5.978 | 2.135 | 6.052 | |
P值 | 0.040 | 0.018 | 0.119 | 0.813 | 0.049 | 0.342 | 0.041 |
Table 3 Comparison of pregnancy complications of GDM women by gestational weight gain rate in second and third trimesters
组别 | 例数 | 妊娠期高血压疾病 | 妊娠期甲状腺功能减退症 | 妊娠期肝内胆汁淤积症 | 妊娠期肝功能损害 | 胎膜早破 | 羊水异常 | 高脂血症 |
---|---|---|---|---|---|---|---|---|
增重速率过慢组 | 115 | 6(5.3) | 14(12.2) | 3(2.6) | 4(3.5) | 25(21.7) | 3(2.6) | 8(7.0) |
增重速率正常组 | 152 | 2(1.3) | 17(11.2) | 6(3.9) | 4(2.6) | 29(19.1) | 7(4.6) | 5(3.3) |
增重速率过快组 | 103 | 9(8.7)b | 24(23.3)ab | 0 | 4(3.9) | 11(10.7)a | 7(6.8) | 12(11.7)b |
χ2值 | 5.844 | 8.077 | 4.198 | 0.489 | 5.978 | 2.135 | 6.052 | |
P值 | 0.040 | 0.018 | 0.119 | 0.813 | 0.049 | 0.342 | 0.041 |
组别 | 例数 | 出生体质量( | 巨大儿〔n(%)〕 | 足月小样儿〔n(%)〕 | 早产儿〔n(%)〕 | 胎儿窘迫〔n(%)〕 | 新生儿窒息〔n(%)〕 | 胎儿畸形〔n(%)〕 |
---|---|---|---|---|---|---|---|---|
增重速率过慢组 | 115 | 3 169±511 | 3(2.6) | 2(1.7) | 9(7.8) | 9(7.8) | 1(0.9) | 0 |
增重速率正常组 | 152 | 3 245±460 | 6(3.9) | 0 | 8(5.3) | 8(5.3) | 3(2.0) | 2(1.3) |
增重速率过快组 | 103 | 3 485±513ab | 13(12.6)ab | 2(1.9) | 1(1.0)a | 4(3.9) | 2(1.9) | 1(1.0) |
χ2(F)值 | 12.173c | 11.583 | 3.121 | 6.004 | 1.660 | 0.689 | 1.396 | |
P值 | <0.001 | 0.003 | 0.182 | 0.047 | 0.452 | 0.771 | 0.627 |
Table 4 Comparison of pregnancy outcomes of GDM women by gestational weight gain rate in second and third trimesters
组别 | 例数 | 出生体质量( | 巨大儿〔n(%)〕 | 足月小样儿〔n(%)〕 | 早产儿〔n(%)〕 | 胎儿窘迫〔n(%)〕 | 新生儿窒息〔n(%)〕 | 胎儿畸形〔n(%)〕 |
---|---|---|---|---|---|---|---|---|
增重速率过慢组 | 115 | 3 169±511 | 3(2.6) | 2(1.7) | 9(7.8) | 9(7.8) | 1(0.9) | 0 |
增重速率正常组 | 152 | 3 245±460 | 6(3.9) | 0 | 8(5.3) | 8(5.3) | 3(2.0) | 2(1.3) |
增重速率过快组 | 103 | 3 485±513ab | 13(12.6)ab | 2(1.9) | 1(1.0)a | 4(3.9) | 2(1.9) | 1(1.0) |
χ2(F)值 | 12.173c | 11.583 | 3.121 | 6.004 | 1.660 | 0.689 | 1.396 | |
P值 | <0.001 | 0.003 | 0.182 | 0.047 | 0.452 | 0.771 | 0.627 |
变量 | 妊娠期高血压疾病 | 妊娠期甲状腺功能减退症 | 胎膜早破 | 高脂血症 | 巨大儿 | 早产儿 | ||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
OR(95%CI) | P值 | OR(95%CI) | P值 | OR(95%CI) | P值 | OR(95%CI) | P值 | OR(95%CI) | P值 | OR(95%CI) | P值 | |
增重速率过慢 | 1.354(0.364,5.036) | 0.354 | 0.996(0.450,2.073) | 0.474 | 0.880(0.478,1.621) | 0.881 | 2.082(0.706,6.135) | 0.881 | 1.506(0.363,6.245) | 0.664 | 0.610(0.233,1.669) | 0.466 |
增重速率过快 | 2.661(1.291,9.460) | 0.027 | 2.288(1.090,4.805) | 0.030 | 0.481(0.221,1.050) | 0.177 | 2.085(1.656,6.630) | 0.021 | 4.591(1.238,17.031) | 0.016 | 0.117(0.014,0.959) | 0.042 |
Table 5 Logistic regression analysis of the association of gestational weight gain rate in second and third trimesters with pregnancy complications and outcomes in women with GDM
变量 | 妊娠期高血压疾病 | 妊娠期甲状腺功能减退症 | 胎膜早破 | 高脂血症 | 巨大儿 | 早产儿 | ||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
OR(95%CI) | P值 | OR(95%CI) | P值 | OR(95%CI) | P值 | OR(95%CI) | P值 | OR(95%CI) | P值 | OR(95%CI) | P值 | |
增重速率过慢 | 1.354(0.364,5.036) | 0.354 | 0.996(0.450,2.073) | 0.474 | 0.880(0.478,1.621) | 0.881 | 2.082(0.706,6.135) | 0.881 | 1.506(0.363,6.245) | 0.664 | 0.610(0.233,1.669) | 0.466 |
增重速率过快 | 2.661(1.291,9.460) | 0.027 | 2.288(1.090,4.805) | 0.030 | 0.481(0.221,1.050) | 0.177 | 2.085(1.656,6.630) | 0.021 | 4.591(1.238,17.031) | 0.016 | 0.117(0.014,0.959) | 0.042 |
[1] |
|
[2] |
|
[3] |
陈云燕,吴琪,张丽霞,等. 妊娠糖尿病孕妇孕中期口服葡萄糖耐量试验异常项数及孕期增重与不良妊娠结局的关系[J]. 浙江大学学报:医学版,2021,50(3):313-319. DOI:10.3724/zdxbyxb-2020-0013.
|
[4] |
王欣,刘德春,亢林萍. 不同孕期增重与发生妊娠期糖尿病关系探讨[J]. 中国计划生育学杂志,2020,28(2):213-216. DOI:10.3969/j.issn.1004-8189.2020.02.016.
|
[5] |
|
[6] |
|
[7] |
|
[8] |
中国营养学会. 中国妇女妊娠期体重监测与评价[EB/OL]. (2021-09-01)[2022-04-20].
|
[9] |
中华医学会妇产科学分会妊娠期高血压疾病学组. 妊娠期高血压疾病诊治指南(2015)[J]. 中华围产医学杂志,2016,19(3):161-169. DOI:10.3760/cma.j.issn.1007-9408.2016.03.001.
|
[10] |
《妊娠和产后甲状腺疾病诊治指南》(第2版)编撰委员会,中华医学会内分泌学分会,中华医学会围产医学分会. 妊娠和产后甲状腺疾病诊治指南(第2版)[J]. 中华围产医学杂志,2019,22(8):505-506. DOI:10.3760/cma.j.issn.1007-9408.2019.08.001.
|
[11] |
|
[12] |
|
[13] |
谢幸,孔北华,段涛. 妇产科学[M]. 9版. 北京:人民卫生出版社,2018.
|
[14] |
中华医学会围产医学分会新生儿复苏学组. 新生儿窒息诊断的专家共识[J]. 中华围产医学杂志,2016,19(1):3-6. DOI:10.3760/cma.j.issn.1007-9408.2016.01.002.
|
[15] |
Institute of Medicine(US)and National Research Council(US) Committee to Reexamine IOM Pregnancy Weight Guidelines. Weight gain during pregnancy:reexamining the guidelines[M]. Washington (DC):National Academies Press (US),2009.
|
[16] |
|
[17] |
|
[18] |
|
[19] |
|
[20] |
|
[21] |
|
[22] |
|
[23] |
|
[24] |
|
[25] |
|
[26] |
|
[27] |
于亚楠. 妊娠期甲减合并妊娠期糖尿病对围产期母婴的影响[J]. 中外女性健康研究,2020,28(15):76,129.
|
[28] |
|
[29] |
|
[30] |
韩肖燕,杨惠霞,杨桦. 妊娠期糖尿病孕妇晚孕期血脂浓度检测的临床意义[J]. 中华妇幼临床医学杂志:电子版,2019,15(1):14-18. DOI:10.3877/cma.j.issn.1673-5250.2019.01.003.
|
[31] |
|
[32] |
|
[33] |
|
[34] |
|
[35] |
|
[36] |
|
[37] |
陈海红. 妊娠期糖尿病孕妇孕期体重指数增长对妊娠结局的影响分析[J]. 中外女性健康研究,2021,29(2):63-64.
|
[38] |
赖毓冕,何平. 孕前体重指数和孕期体重增长与早产的关系[J]. 中国妇幼保健,2007,22(2):167-169. DOI:10.3969/j.issn.1001-4411.2007.02.011.
|
[1] | ZHANG Shuai, LI Qin, LI Dongfeng, XIAO Jinping, LI Yunpeng. A Prospective Cohort Study of Solid Fuels Use and Risk of Hypertension in Chinese Older Adults [J]. Chinese General Practice, 2023, 26(32): 4001-4006. |
[2] | XU Zhe, ZHANG Jinxia, ZHANG Xiuhong, XIE Kaihong. Relationship between Sleep Duration and All-cause Mortality in Middle-aged and Older Adults [J]. Chinese General Practice, 2023, 26(28): 3507-3512. |
[3] | CHEN Lunwen, ZHOU Yang, YAN Guodong, SHEN Yi, SUN Chen, CAI Wanli, CHU Minjie, XIAO Jing. Risk of Malignant Tumor in Patients with Type 2 Diabetes: a Prospective Population-based Study [J]. Chinese General Practice, 2023, 26(26): 3238-3245. |
[4] | YUAN Xianxian, WANG Jia, ZHANG Kexin, YANG Ruihua, ZHENG Wei, LI Guanghui. Association between Blood Lipid Levels and Macrosomia in Pregnant Women with Different Pre-pregnancy Body Mass Index [J]. Chinese General Practice, 2023, 26(24): 2973-2979. |
[5] | ZHANG Li, ZHENG Wei, WANG Jia, YUAN Xianxian, HAN Weiling, HUANG Junhua, TIAN Zhihong, LI Guanghui. Comparison of Gestational Weight Gain and Pregnancy Outcomes in Chinese Women with Singleton Pregnancy Using Standard of Recommendation for Weight Gain during Pregnancy Period and Guidelines by the Institute of Medicine [J]. Chinese General Practice, 2023, 26(24): 2959-2967. |
[6] | HE Manlan, YUAN Ping, HE Lei, CHEN Lu. Meta-analysis of Risk Factors for Urinary Tract Infection in Neurogenic Bladder [J]. Chinese General Practice, 2023, 26(21): 2659-2665. |
[7] | ZHAO Zewei, KANG Ning, GUO Fengli, WANG Zhongyu, ZHENG Xiangqian. Effect of Aurora Kinase A Expression on Biochemical Cure in Patients after Medullary Thyroid Cancer Resection [J]. Chinese General Practice, 2023, 26(20): 2508-2512. |
[8] | SU Afang, ZHU Guoling, ZHANG Yunshui, CHEN Shuohua, ZHAO Xiujuan, YANG Wenhao, WANG Yinjie, WANG Fengfei, XIN Yingying, WU Shouling, ZHANG Jie, JIANG Xiaozhong. Association between Baseline Fasting Plasma Glucose Levels and Risk of Acute Pancreatitis in Non-obese Population: a Prospective Cohort Study [J]. Chinese General Practice, 2023, 26(18): 2203-2208. |
[9] | SHEN Aomei, LU Qian, FU Xin, WEI Xiaoxia, BIAN Jingru, ZHANG Liyuan, QIANG Wanmin, PANG Dong. Constructing a Risk Prediction Model of Breast Cancer-related Lymphedema Based on a Meta-analysis of Prospective Cohort Studies [J]. Chinese General Practice, 2023, 26(17): 2078-2088. |
[10] | SONG Hualong, GAO Ying. Association between Serum Uric Acid and the Risk of Type 2 Diabetes Mellitus: a Population-based Prospective Cohort Study [J]. Chinese General Practice, 2023, 26(15): 1831-1839. |
[11] | MA Wanrui, MA Qianfeng, WU Jingjie, WANG Liqun, WANG Zhizhong. A Ten-year Cohort Study of the Association between Cardiometabolic Risk Factor Cluster and All-cause Mortality Risk among Community-dwelling Aged 55 and Over Adults [J]. Chinese General Practice, 2023, 26(14): 1703-1708. |
[12] | GUO Yinning, MIAO Xueyi, JIANG Xiaoman, XU Ting, XU Qin. Associated Factors of Frailty in Cancer Patients: a Meta-analysis [J]. Chinese General Practice, 2023, 26(08): 989-996. |
[13] | SHI Weijuan, WANG Fengyan, YANG Yuqiong, XIE Qingxiu, LI Yuqi, LI Shiyue, CHEN Rongchang, ZHANG Dongying, ZHENG Jinping, LIANG Zhenyu. Impact of COVID-19 Pandemic on the Frequency of Acute Exacerbations of Chronic Obstructive Pulmonary Disease [J]. Chinese General Practice, 2023, 26(05): 550-556. |
[14] | LIU Shuangxue, LI Yanhua, ZHANG Gangwei, ZHAO Lin. Risk Factors for Postmenopausal Hypertension: a Meta-analysis [J]. Chinese General Practice, 2023, 26(04): 512-518. |
[15] | YU Zhumei, LIU Annuo, XIAO Juan, TANG Yuxia, YU Li, TONG Huanhuan. Risk Factors for Bronchopulmonary Dysplasia in Premature Infants: a Meta-analysis [J]. Chinese General Practice, 2023, 26(03): 356-366. |
Viewed | ||||||
Full text |
|
|||||
Abstract |
|
|||||