广西医学2017，Vol.39Issue(12)：1841-1843,1851,4.DOI:10.11675/j.issn.0253-4304.2017.12.21
孕前体质量指数、孕早期空腹血糖及血脂水平在预测妊娠期糖尿病中的临床价值
Clinical value of pre-pregnant body mass index, fasting plasma glucose and blood lipids levels during first trimester in predicting gestational diabetes mellitus
史欣 1杜岚 1苏青 1田艺1
作者信息
- 1. 陕西省西安市第四医院妇产科,西安市710004
- 折叠
摘要
Abstract
Objective To explore the value of pre-pregnant body mass index(BMI),FBG and blood lipids levels during the first trimester in predicting gestational diabetes mellitus (GDM).Methods The clinical data of 1 480 pregnant women were retrospectively analyzed.The subjects were divided into GDM group(n =152) and control group(n =1 328) according to the result of OGTT.The pre-pregnant BMI,FBG and blood lipids levels during the first trimester(7-15 weeks of pregnancy) were compared between the two groups.The risk factors for the incidence of GDM were analyzed.Receiver operating characteristic(ROC) curve was used to evaluate the efficiency of relevant indices for predicting GDM.Results Age,pre-pregnant BMI,pregnant frequency,FBG and TG levels during the first trimester were the independent risk factors for GDM (all P ＜0.05).The result of ROC curve analysis indicated that the areas under the curve for pre-pregnant BMI,FPG and TG during the first trimester in predicting GDM were 0.811,0.792 and 0.729 respectively(all P ＜0.05),the sensitivities were 82.53％,80.26％ and 81.72％ respectively,and the specificities were 68.48％,71.09％ and 70.38％ respectively.Conclusion The risk of GDM is higher in the pregnant women who are older or have more pregnant frequency,increased pre-pregnant BMI,elevated FBG or TG level during the first trimester.Pre-pregnant BMI or FPG level during the first trimester achieves better efficiency in predicting GDM.关键词
妊娠期糖尿病/空腹血糖/血脂/体质量指数/妊娠早期Key words
Gestational diabetes mellitus/Fasting blood glucose/Blood lipids/Body mass index/First trimester分类
医药卫生引用本文复制引用
史欣,杜岚,苏青,田艺..孕前体质量指数、孕早期空腹血糖及血脂水平在预测妊娠期糖尿病中的临床价值[J].广西医学,2017,39(12):1841-1843,1851,4.
