巨大儿与母亲孕晚期血脂水平的相关性分析

发布时间：2018-04-09 23:35

本文选题：孕妇　切入点：血脂　出处：《重庆医学》2017年28期

【摘要】：目的探讨孕晚期血脂水平变化与新生儿出生体质量的相关性。方法选择2013年1月至2016年6月在该中心进行正规产检和分娩的单胎孕妇,于妊娠36~38周抽取空腹静脉血,并测定其血清三酰甘油(TG)、总胆固醇(TC)、低密度脂蛋白胆固醇(LDL-C)、高密度脂蛋白胆固醇(HDL-C)水平。120例孕产妇,其新生儿出生体质量小于4 000kg为对照组,120例新生儿出生体质量大于或等于4 000kg为巨大儿组,对比分析两组孕产妇孕晚期血脂水平与新生儿出生体质量的关系。结果巨大儿组孕妇的TG高于对照组[(4.04±1.90)mmol/L vs.(3.05±1.53)mmol/L];巨大儿组孕妇高密度脂蛋白低于对照组孕妇[(1.68±0.41)mmol/L vs.(1.88±0.41)mmol/L],差异有统计学意义(P0.05);TC和LDL-C在两组间比较差异无统计学意义(P0.05),巨大儿组孕妇的孕前BMI、孕期增加体质量均显著高于对照组[(22.10±3.24)kg/m2 vs.(20.25±2.54)kg/m2;(18.28±5.00)kg vs.(15.08±4.18)kg],差异有统计学意义(P0.05)。结论新生儿出生体质量与孕晚期TG水平、孕妇孕前BMI、孕期增加体质量有关。
[Abstract]:Objective to investigate the relationship between the level of blood lipid in late pregnancy and the birth weight of newborns.Methods from January 2013 to June 2016, pregnant women with single pregnancy were selected for regular birth examination and delivery at the center. Fasting venous blood was collected at 3638 weeks of pregnancy.The serum levels of TGG, TC, LDL-C, HDL-C were measured in 120 pregnant and parturient women.One hundred and twenty neonates with birth weight greater than or equal to 4 000kg in the control group with birth weight less than 4 000kg were enrolled in the study. The relationship between the blood lipid level in the late trimester of pregnancy and the birth weight of the newborns was compared and analyzed between the two groups.The body weight of BMI before pregnancy was significantly higher than that of control group [22.10 卤3.24)kg/m2 vs.(20.25 卤2.54 kg / m ~ (2) vs.(15.08 卤4.18)kg], and the difference was statistically significant (P < 0.05).Conclusion the birth weight of newborn is related to the level of TG in late pregnancy, BMIbefore pregnancy and increasing body mass during pregnancy.
【作者单位】：重庆市沙坪坝区妇幼保健计划生育服务中心;
【基金】：重庆市沙坪坝区重点基金资助项目(201307)
【分类号】：R714.7

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