妊娠期糖尿病孕妇尿酮体持续阳性对母婴临床结局的影响
张越, 瞿蕾, 谷沁, 朱亦清, 马莉莹, 孙文广

Effect of continuous positive urine ketone body on clinical outcomes of pregnant women with gestational diabetes mellitus and newborn
ZHANG Yue, QU Lei, GU Qin, ZHU Yiqing, MA Liying, SUN Wenguang
表1 2组孕妇的一般资料比较
Tab 1 Comparison of general information of pregnant women in the two groups
ItemKetone body-positive group (n=56)Ketone body-negative group (n=112)χ2 /t/U valueP value
Height/cm160 (158, 163)162 (159, 166)3 690.5000.061
Pro-gestational weight/kg55 (51, 61)57 (51, 61)3 208.0000.808
Pro-gestational BMI/(kg·cm-2)21.5 (20.0, 23.4)21.1 (19.6, 23.2)3 044.0000.757
Weight change before diagnosis of GDM/kg8.53±3.367.89±2.951.2230.224
Family history of DM/n (%)9 (16.1)19 (17.0)0.0210.884
History of GDM/n (%)3 (5.4)4 (3.6)0.0190.891
Early pregnancy/(mmol·L-1)
TC4.45±0.754.46±0.700.0480.962
TAG1.34 (1.00, 1.63)1.32 (1.02, 1.71)3 203.0000.822
HDL-C1.80 (1.54, 2.15)1.84 (1.63, 2.12)3 320.0000.536
LDL-C2.49±0.602.46±0.570.3430.732
Middle pregnancy
HbA1c/%5.29±0.265.32±0.250.9590.339
0 h OGTT/(mmol·L-1)4.81±0.524.70±0.501.2560.211
1 h OGTT/(mmol·L-1)9.97±1.329.90±1.280.3250.745
2 h OGTT/(mmol·L-1)8.32±1.358.32±1.260.0020.998
0 h INS/(mU·L-1)6.85 (4.90, 10.30)6.80 (4.83, 9.50)3 006.5000.663
1 h INS/(mU·L-1)56.55 (40.20, 73.70)64.85 (48.05, 87.83)3 706.0000.055
2 h INS/(mU·L-1)59.85 (42.93, 88.75)58.10 (40.80, 87.15)3 128.5000.980