怀孕期间血红蛋白A1c轨迹与非妊娠期糖尿病妇女的不良分娩结果之间的关联
Jing Peng1, Li Zhang1, Lijuan Zheng1
1Department of Obstetrics, Guangdong Women and Children Hospital, Guangzhou, 510010, China.
在怀孕期间血红蛋白A1c (HbA1c) 轨迹升高和增加与非糖尿病女性早产和妊娠年龄大 (LGA) 的风险更高有关. 保持最佳的HbA1c水平对于有利的出生结果至关重要.
科学领域:
- 产科和妇科 产科和妇科
- 内分泌学 在内分泌学.
- 围产儿医学 围产儿医学
背景情况:
- 在怀孕期间血红蛋白A1c (HbA1c) 在正常范围内升高与不良分娩结果相关.
- 在没有妊娠糖尿病的妇女中,纵向HbA1c变化对怀孕结果的影响尚不清楚.
研究的目的:
- 在没有妊娠糖尿病的妇女中,在怀孕期间识别出明显的血红蛋白A1c (HbA1c) 轨迹.
- 评估这些HbA1c轨迹与不良出生结果之间的关联.
主要方法:
- 利用了13,979名非妊娠期糖尿病妇女的数据,并进行了重复的HbA1c测量.
- 采用潜伏混合物建模来定义HbA1c轨迹组.
- 应用后勤回归来分析与早产,低出生体重,宏观体,妊娠年龄小,妊娠年龄大 (LGA) 的关联.
主要成果:
- 确定了三个HbA1c轨迹组:低稳定,中等稳定和高升.
- 与低稳定组相比,HbA1c升高增加的组显示出早产 (OR 1.67) 和LGA (OR 1.47) 的风险明显更高.
结论:
- 在怀孕期间HbA1c的升高和增加的轨迹与没有妊娠糖尿病的妇女的早产和LGA风险增加有关.
- 在整个怀孕期间监测和管理HbA1c水平对于改善围产期结果至关重要.
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