怀孕期间母亲血葡萄糖水平与早产风险之间的关联:一项回顾性研究
Na Wang1, Bingqi Han2, Sumiao Hong3
1Department of the obstetrics, The People's Hospital of Pingyang, Wenzhou, Zhejiang, 325400, China. Wangna760320@163.com.
BMC pregnancy and childbirth
|November 19, 2025
概括
在怀孕期间母亲葡萄糖水平升高显著增加了早产风险. 监测和管理血糖对于预防早产和改善婴儿健康结果至关重要.
科学领域:
- 产科和妇科 产科和妇科
- 孕产妇和胎儿医学 孕产妇和胎儿医学
- 内分泌学 在内分泌学.
背景情况:
- 早产是婴儿发病率和死亡率的主要原因之一.
- 研究早产风险因素对于制定预防策略至关重要.
研究的目的:
- 检查怀孕期间母亲血葡萄糖水平与早产风险之间的关联.
主要方法:
- 一项对6,842名中国孕妇 (2016-2022) 的回顾性研究.
- 在怀孕24-28周之间,通过75克口服葡萄糖耐受性测试 (OGTT) 测量母亲的血葡萄糖水平.
- 统计分析包括限制立方线和后勤回归来评估与早产的关系.
主要成果:
- 妊娠糖尿病发病率为7.92%,早产发病率为5.86%.
- 禁食血葡萄糖,OGTT后1小时的葡萄糖和OGTT后2小时的葡萄糖水平都与早产风险增加显著相关.
- 在所有测量葡萄糖水平和早产风险之间观察到线性关联.
结论:
- 怀孕期间母亲血葡萄糖水平较高是早产的重要危险因素.
- 在怀孕期间有效预防和管理高血糖是必不可少的.
- 建议加强健康教育,血糖监测和及时干预,以减少早产率.
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