体重不足孕妇不良事件的预测因素

A. Prystrom, S. A. Hisamo
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引用次数: 0

摘要

众所周知,体重过轻与母亲患妊娠并发症的风险增加有关。该研究的目的是确定体重过轻妇女怀孕期间不良事件的预测因素。材料和方法。对82例体重不足的孕妇进行了检查。对照组为35名体重正常的孕妇。所有纳入研究的患者均接受了常规的临床、仪器和实验室检查,包括收集记忆资料、体格检查、一套实验室研究、经胸超声心动图、动态心电图监测。结果。确定孕妇妊娠并发症的危险预测因素及其阈值:BMI >18.135 kg/m2,甘油三酯>1.765 mmol/l, LDL >2.79 mmol/l,瘦素400 /天。结论。以体重过轻为背景的妊娠,其特点是出现先兆流产、中毒、HFPN、羊水异常(羊水过多、羊水过少)、子痫前期、妊娠动脉高压、胎盘早剥、胎盘肥大等并发症。已经开发了一种预后模型来评估体重过轻的孕妇在怀孕期间发生产妇并发症的风险。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
PREDICTORS OF ADVERSE EVENTS IN PREGNANT WOMEN WITH DEFICIENCY OF BODY WEIGHT
It is known that underweight is associated with an increased risk of pregnancy complications on the part of the mother. The purpose of the study is to identify predictors of adverse events during pregnancy in underweight women. Material and methods. 82 pregnant women with body weight deficiency were examined. The control group consisted of 35 pregnant women with normal body weight. All patients included in the study underwent conventional clinical, instrumental and laboratory examinations, including the collection of anamnestic data, physical examinations, a set of laboratory studies, transthoracic echocardiography, Holter monitoring of the electrocardiogram. Results. Maternal risk predictors of pregnancy complications and their threshold values were identified: BMI >18.135 kg/m2, triglycerides >1.765 mmol/l, LDL >2.79 mmol/l, leptin <8.8 ng/ml, potassium <4.15 mmol/l, rhythm disturbances (extrasystole) >400 per day. Conclusions. Pregnancy against the background of underweight is characterized by such complications as threatened miscarriage, toxicosis, HFPN, abnormal amount of amniotic fluid (polyhydramnios, oligohydramnios), preeclampsia, gestational arterial hypertension, placental abruption, placental hypertrophy. A prognostic model has been developed to assess the risk of maternal complications during pregnancy in underweight pregnant women.
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