吴北生 杨慧霞 方广虹 董悦 100034 北京医科大学第一医院妇产科(吴北生,杨慧霞,董悦)；河南南阳油田中心医院妇产科(方广虹) 中华围产医学杂志 1999 0 0 1


    关键词：葡糖耐量试验；血糖；巨大胎儿 期刊 zhwcyxzz 0 论 著 fur -->


    

【摘要】 目的 探讨糖耐量试验正常孕妇的孕期血糖水平与巨大儿发生的关系。 方法 选择孕晚期葡萄糖耐量试验正常的孕妇200例，按新生儿体重分为正常组及巨大儿组，每组各100例。采用样条函数对孕妇糖耐量检验结果的各时点值进行拟合，计算出曲线下的面积，同时对两组孕妇各项数据进行比较。 结果 两组孕妇身高、体重及宫高、腹围的增长均有明显统计学差异，而孕妇糖代谢过程未显示有统计学差异。 结论 对于糖耐量正常的孕妇，巨大儿的发生与糖代谢无相关关系，而与孕妇的身高、体重及宫高、腹围的增长幅度有关。故对上述孕妇需加强监测，给予合理营养指导，是减少巨大儿发生的关键。

    Influence of GlucoseTolerable on Macrosomia in Normal Pregnant Women

Wu Beisheng,Yang Huixia, FangGuanghong,et al.The First Hospital of Beijing Medical University, Beijing 100034

【 Abstract】 Objective To investigate the relationship between blood glucoselevels and macrosomia in pregnant women with normal glucose tolerance test(GTT). Methods 200 gravidas with normal GTT inthird trimester of pregnancy were chosen and divided into two groups according to neonatalweight. The values of their GTTs were analyzed with splines and calculated glucose areasunder curves. Results There were significantdifferences of maternal height, weight and the increasing of uterine height and abdominalperimeter in two groups.Carbohydrate metabolism was not significantly difference duringlate pregnancy. Conclusion Macrosomia do not correlate withglucose values of their GTTs in pregnant women with normal GTTs but are associated withmaternal body habitus and the increasing of uterine height, abdominal perimeter. Thepregnant women with high-risk factors should be monitored during pregnancy and givennutrition guidance to reduce the incidences of macrosomia.

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