| 内脏脂肪联合孕前体重指数预测妊娠期代谢综合征 |
| 投稿时间：2017-03-15 修订日期：2017-03-24 点此下载全文 |
| 引用本文：黄燕飞,王小华,谭洁,梅瑾,顾文平.内脏脂肪联合孕前体重指数预测妊娠期代谢综合征[J].医学研究杂志,2017,46(12):78-80 |
| DOI：
10.11969/j.issn.1673-548X.2017.12.020 |
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| 基金项目:浙江省卫生与计划生育委员会科研项目（2014KYB349） |
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| 中文摘要:目的 探讨内脏脂肪联合孕前体重指数（BMI）预测妊娠期代谢综合征（GMS）的临床意义。方法 选择上城区某社区卫生服务中心2014年7月~2016年6月具有GMS高风险因素的孕妇1212例作为研究对象，孕龄9~13周，采用内脏脂肪联合孕前BMI预测GMS，并与孕32~36周GMS诊断结果进行对照，比较单一内脏脂肪、孕前BMI与两项联合的预测价值。结果 1212例GMS高风险因素孕妇发生GMS 117例，发生率为9.65%；内脏脂肪预测102例，预测率为87.18%；孕前BMI预测90例，预测率为76.92%；两项联合预测114例，预测率为97.44%，差异有统计学意义（χ2=7.341，P<0.05）。内脏脂肪联合BMI的敏感度及准确度分别为97.44%、99.73%，均高于孕前BMI的76.92%、97.53%，差异有统计学意义（χ2=7.341、6.480，P<0.05）；高于内脏脂肪的87.18%、98.63%，差异无统计学意义（P>0.05）。结论 内脏脂肪联合孕前BMI可提高GMS的预测率，并具有安全、简便、准确的优点，能够对大部分GMS做出早期预测，为临床拟定营养干预方案，避免不良妊娠结局提供依据，值得推广应用。 |
| 中文关键词:妊娠期代谢综合征 内脏脂肪 体重指数 联合预测 |
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| Predicting Gestational Metabolic Syndrome during pregnancy by visceral fat combined with pre-pregnancy body mass index |
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| Abstract:Objective To investigate the clinical significance of visceral fat and prenatal body mass index (BMI) in predicting gestational metabolic syndrome (GMS) during pregnancy.Methods The clinical data of 1212 pregnant women with GMS risk factors in one health service center of Shangcheng district from July 2014 to June 2016 were selected as study subjects, whose gestational ages between 9 and 13 weeks. GMS was predicted by visceral fat and pre-pregnancy BMI. And compared with the GMS diagnostic results at 32-36 weeks in single visceral fat, pre-pregnancy BMI and the predictive value of the two joint.Results The incidence rate of GMS was 9.65% (117 cases) in 1212 cases of GMS high risk pregnant women. Among these women with GMS,the predicted rate of visceral fat rate was 87.18% (102 cases)and pregnancy BMI was 76.92% (90 cases). The predictive rate was 97.44%. The difference was statistically significant (χ2=7.341, P<0.05). The sensitivity and accuracy of visceral fat combined with BMI method were 97.44% and 99.73%, which were significantly higher than those of pre-pregnancy BMI method (76.92%, 97.53%), the difference was statistically significant(χ2=7.341,6.480, P<0.05). It was also higher than visceral fat method (87.18%, 98.63%),and the difference was not statistically significant.Conclusion Visceral fat combined with pre-pregnancy BMI can improve the prediction rate of GMS, and has the advantages of safety, simplicity and accuracy. It can make the early prediction of most GMS, provid the basis for the clinical formulation of nutritional intervention program and avoiding the adverse pregnancy outcome, which is worthy of popularization and application. |
| keywords:Gestational metabolic syndrome (GMS) Visceral fat Body mass index (BMI) Combination prediction |
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