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沈阳市妇婴医院产科
纸质出版日期:2021,
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[1]戚妍,张丹.不同妊娠期孕妇Hcy、血糖及血脂水平及对新生儿体质量的影响[J].保健医学研究与实践,2021,18(01):60-63.
Qi Yan, Zhang Dan. Hcy, glucose and lipid levels in women at different stages of pregnancy and their effects on neonatal body mass[J]. Health Medicine Research and Practice, 2021,18(1):60-63.
目的探讨不同妊娠期孕妇的血同型半胱氨酸(Hcy)、血糖及血脂水平及对其新生儿体质量的影响。方法选取2017年1月-2018年3月在辽宁省某医院行孕检直至分娩的244例健康孕妇为研究对象
比较妊娠早期(妊娠小于12周)、妊娠中期(妊娠12~27周)、妊娠晚期(妊娠27周以后)孕妇Hcy、血糖及血脂水平
并分析Hcy、血糖及血脂水平对新生儿体质量的影响。结果不同妊娠期孕妇FPG水平比较
差异无统计学意义(P>0.05);不同妊娠期孕妇TG、TC、LDL、HDL水平比较
差异均有统计学意义(P<0.05)
TG、TC、LDL水平随妊娠期进展逐渐上升
HDL水平则在妊娠中期达到最高值;不同妊娠期孕妇Hcy水平比较
差异有统计学意义(P<0.05)
该指标水平在妊娠早期最低。新生儿体质量正常组和新生儿体质量异常组妊娠晚期孕妇Hcy、LDL水平比较
差异无统计学意义(P>0.05);新生儿体质量异常组妊娠晚期孕妇TG、TC、FPG水平高于新生儿体质量正常组
HDL水平低于新生儿体质量正常组
差异均有统计学意义(P<0.05)。Logistic回归分析结果显示
妊娠晚期孕妇TG、TC、FPG、HDL水平为影响新生儿体质量的因素(P<0.05)。结论不同妊娠期孕妇血脂水平存在差异
随着妊娠期增加其血脂水平呈上升趋势;妊娠晚期血脂、血糖水平异常对新生儿体质量存在负面影响。
Objective To investigate the homocysteine(Hcy)
blood glucose and lipid levels in women at different stages of pregnancy and their effects on the body mass of newborns. Methods A total of 244 healthy pregnant women who underwent pregnancy tests until delivery in a hospital in Liaoning Province from January 2017 to March 2018 were selected for the study. The levels of Hcy
glucose and lipids in pregnant women in the first trimester(less than 12 weeks of gestation)
second trimester(12-27 weeks of gestation) and third trimester(after27 weeks of gestation) were compared
and the effect of Hcy
glucose and lipid levels on the body mass of newborns was analyzed. Results The differences were not statistically significant(P >0.05) when comparing the FPG levels of pregnant women in different pregnancy stages; the differences were statistically significant(P <0.05) when comparing the TG
TC
LDL and HDL levels of pregnant women in different pregnancy levels
with the TG
TC and LDL levels gradually increasing with the progress of pregnancy
and the HDL level reaching the highest value in the second trimester; the differences were statistically significant when comparing the Hcy levels of pregnant women in different pregnancy stages(P <0.05)
and the level of this index was the lowest in the first trimester. The differences between the levels of Hcy and LDL in the third trimester in the normal neonatal mass group and the abnormal neonatal mass group were not statistically significant(P >0.05); the levels of TG
TC and FPG in the third trimester in the abnormal neonatal mass group were higher than those in the normal neonatal mass group
and the levels of HDL were lower than those in the normal neonatal mass group
and the differences were statistically significant(P <0.05). Logistic regression analysis showed that the levels of TG
TC
FPG
and HDL in pregnant women in the third trimester were independent risk factors for neonatal body mass(P <0.05). Conclusion There are differences in lipid levels among pregnant women in different pregnancy stages
and their lipid levels tend to increase as the pregnancy stage advances; abnormal lipid and glucose levels in the third trimester have a negative impact on neonatal body mass.
妊娠期同型半胱氨酸血糖血脂新生儿体质量相关性
GestationHomocysteineBlood glucoseLipidsNeonatal body masscorrelation
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