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目的探讨影响健康孕妇新生儿体重的相关因素。方法本研究为前瞻性研究,选择2013年3-8月在青岛市市立医院检查并决定在本院分娩的早孕妇女480例,排除个别妊娠合并症和并发症,共376例进入研究,追踪调查至孕妇分娩。详细记录孕妇年龄、孕前体质量、身高、分娩孕周、分娩前体质量、孕期体质量增长、新生儿体质量,并检测妊娠32~34周孕妇血脂及血糖水平,分析各因素与新生儿体质量的相关性。结果孕期体质量增长、甘油三酯水平与新生儿体质量呈正相关(r=0.213,P<0.01;r=0.244,P<0.001)。甘油三酯与孕前体重指数、孕期体质量增长呈正相关(r=0.172,P<0.05;r=0.178,P<0.01)。巨大儿组孕妇甘油三酯水平为(3.82±1.47)mmol/L,正常儿组孕妇为(3.21±1.26)mmol/L,差异有统计学意义(P<0.05)。巨大儿组孕妇空腹血糖水平为(4.45±0.063)mmol/L,正常儿组孕妇血糖水平为(4.17±0.50)mmol/L,差异有统计学意义(P<0.01)。结论孕妇血脂、血糖水平及孕期增重显著影响新生儿出生体重,孕期应该平衡膳食、合理增重,并进行血脂、血糖监测,对控制新生儿的体重有重要的临床意义。
Objective To explore the factors that affect the weight of healthy newborn infants. METHODS: This study was a prospective study. Forty-eight pregnant women with early pregnancies who were examined and decided to deliver at our hospital from March to August in 2013 were excluded. A total of 376 pregnant women with complications and complications of pregnancy were excluded from the study and follow-up survey To pregnant women childbirth. Detailed records of pregnant women age, pre-pregnancy weight, height, gestational gestational age, birth weight, weight gain during pregnancy, newborn weight, and detection of pregnant women 32 to 34 weeks of pregnancy blood lipids and blood glucose levels, Quality relatedness. Results There was a positive correlation between body weight gain and triglyceride level and body weight in newborns during pregnancy (r = 0.213, P <0.01; r = 0.244, P <0.001). Triglyceride and pre-pregnancy body mass index, weight gain during pregnancy was positively correlated (r = 0.172, P <0.05; r = 0.178, P <0.01). The level of triglyceride in pregnant women was (3.82 ± 1.47) mmol / L in pregnant group and (3.21 ± 1.26) mmol / L in normal children. The difference was statistically significant (P <0.05). The level of fasting blood glucose in pregnant women was (4.45 ± 0.063) mmol / L in pregnant group and (4.17 ± 0.50) mmol / L in normal pregnant women. The difference was statistically significant (P <0.01). Conclusion The blood lipid and blood glucose level of pregnant women and the weight gain during pregnancy significantly affect the birth weight of newborns. Pregnancy should be balanced diet and reasonable weight gain, and blood lipid and blood glucose monitoring have important clinical significance in controlling newborn weight.