中国现代医生2023，Vol.61Issue(36)：18-20,24,4.DOI:10.3969/j.issn.1673-9701.2023.36.005
孕早期血清铁蛋白、孕前体质量指数联合孕龄对妊娠糖尿病的预测价值
Predictive value of serum ferritin in early gestation,pre-pregnancy body mass index and gestational age for gestational diabetes mellitus
摘要
Abstract
Objective To investigate the predictive value of serum ferritin(SF)in early gestation,pre-pregnancy body mass index(BMI)and gestational age for gestational diabetes mellitus(GDM).Methods A total of 260 pregnant women who had a routine prenatal examination in Wenzhou People's Hospital were collected from January 2021 to December 2022.Fasting venous blood was collected at the first prenatal examination(within 14 weeks'gestation)for SF.According to the results of 75 grams oral glucose tolerance test(OGTT)between 24 weeks and 28 weeks,they were divided into GDM group(n=62)and normal glucose tolerance(NGT)group(n=198).The general clinical data of the two groups were compared;Multivariate Logistic regression analysis was conducted to determine the independent risk factors of GDM.Receiver operating characteristic(ROC)curve was used to further analyze the predictive value of SF in early gestation,pre-pregnancy BMI and gestational age for GDM.Results Pregnant women in GDM group had higher SF,BMI and gestational age in early pregnancy than those of NGT group(P<0.05).Pre-pregnancy BMI,gestational age and SF increased in early pregnancy were independent risk factors for GDM(P<0.05).The area under the curve(AUC)of SF in early pregnancy as well as pre-pregnancy BMI and gestational age for predicting GDM were 0.612,0.691 and 0.664.The best tangent point values were 94.045ng/ml,21.125kg/m2 and 28.500 years old,respectively.The total AUC of ROC predicted GDM by SF in early gestation,pre-pregnancy BMI and gestational age was 0.750,the sensitivity and specificity were 66.1%and 79.3%,respectively.Conclusion SF in early gestation,pre-pregnancy BMI and gestational age are important factors in the development of GDM,the combined detection of SF in early pregnancy,pre-pregnancy BMI and gestational age has a certain predictive value for GDM.关键词
血清铁蛋白/妊娠糖尿病/孕早期/体质量指数/孕龄Key words
Serum ferritin/Gestational diabetes mellitus/Early pregnancy/BMI/Gestational age分类
临床医学引用本文复制引用
林美美,张红萍,黄小圆,王晔,胡艳君..孕早期血清铁蛋白、孕前体质量指数联合孕龄对妊娠糖尿病的预测价值[J].中国现代医生,2023,61(36):18-20,24,4.基金项目
浙江省温州市基础性科研项目(Y2020519) （Y2020519）
