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多囊卵巢综合征对超重或肥胖孕妇围产结局的影响

张莉 李光辉 张为远

中国实用妇科与产科杂志2011,Vol.27Issue(9):66-69,4.
中国实用妇科与产科杂志2011,Vol.27Issue(9):66-69,4.

多囊卵巢综合征对超重或肥胖孕妇围产结局的影响

Influences of polycystic ovary syndrome on perinatal outcomes of overweight or obese women.

张莉 1李光辉 1张为远1

作者信息

  • 1. 首都医科大学附属北京妇产医院产科,北京100026
  • 折叠

摘要

Abstract

Objective To determine the effect of polycystic ovary syndrome ( PCOS) on perinatal outcomes of overweight or obese pregnancy women. Methods The screening of PCOS was performed when they were at first prenatal visit in Beijing Obstetrics and Gynecology Hospital, Capital Medical University between May, 2008 and July,2010. 55 PCOS women of pregnancy women with BMI^24 were considered as the study subjects, and 110 pregnancy women without P-COS matched by age and pre-pregnancy body mass index ( BMI) were selected as the control ones. Patients with history of pre-pregnancy diabetes, hypertension, cardiovascular disease, renal diseases and multiple pregnancies were excluded from the study. We followed pregnancy outcomes of two groups until delivery. Results PCOS women with BMI ≥24 had a significantly higher rate of preterm compared with the controls, P <0.01. No statistical significance was found in prevalence of gestational diabetes mellitus ( GDM), pregnancy-induced hypertension, pre-eclampsia, polyhydramnios, oligo-hydramnios, macrosomia, premature rupture of membranes, placental abruption, macrosomia, fetal death and neonatal congenital abnormality between the two groups (all P > 0. 05 ). Conclusion PCOS is not at increased risk of GDM, pregnancy hypertension disorder and other adverse perinatal outcomes, but it is at least increased risk of preterm in overweight/obese PCOS women,this risk seemed to be due to PCOS itself rather than obesity.

关键词

多囊卵巢综合征/体重指数/超重/肥胖/围产结局

Key words

polycystic ovary syndrome/ body mass index/ overweight/obese/perinatal outcomes

分类

医药卫生

引用本文复制引用

张莉,李光辉,张为远..多囊卵巢综合征对超重或肥胖孕妇围产结局的影响[J].中国实用妇科与产科杂志,2011,27(9):66-69,4.

基金项目

北京市优秀人才基金(2009D003010000001) (2009D003010000001)

中国实用妇科与产科杂志

OA北大核心CSCDCSTPCD

1005-2216

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