妊娠期糖尿病患者妊娠早期的血红蛋白水平
Hemoglobin level during the first trimester of pregnancy in gestational diabetes.
作者信息
Nastaran Safavi Ardabili, Nourossadat Kariman, Abbas Haji Fathali, Hamid Alavi Majd
机构信息
Department of Midwifery, Ardabil branch, Islamic Azad University, Ardabi, Iran.
出版信息
Ginekol Pol. 2012 Dec;83(12):929-33.
OBJECTIVE
The objective of this study was to determine the relationship between the hemoglobin levels during the first trimester of pregnancy with gestational diabetes incidence in pregnant women.
MATERIALS AND METHODS
This is a prospective cohort study on 700 pregnant women with gestational ages of 1-13 weeks. Sampling was performed using the convenience method. For each pregnant woman, the hemoglobin level of the first trimester of pregnancy was measured. All the cases were followed up to delivery due to gestational diabetes.
RESULTS
Hemoglobin levels were categorized into three groups (< 1.1, 1. 71-1.24, > or = 1.25 g/L). The data were extracted using the SPSS, and analyzed with descriptive and inferential statistics. Statistical tests revealed a significant difference among the three groups in hemoglobin levels and gestational diabetes incidence (p < 0.001). Women with higher hemoglobin levels were at an increased risk of developing gestational diabetes (RR = 3.94, 95% C = 1.73-8.95).
CONCLUSION
It appears that hemoglobin level during the first trimester of pregnancy may be considered as a selective screening factor for gestational diabetes.
目的
本研究的目的是确定妊娠早期血红蛋白水平与孕妇妊娠期糖尿病发病率之间的关系。
材料与方法
这是一项针对700名孕周为1至13周孕妇的前瞻性队列研究。采用方便抽样法进行抽样。对每位孕妇测量其妊娠早期的血红蛋白水平。所有病例均因妊娠期糖尿病随访至分娩。
结果
血红蛋白水平分为三组（<1.1、1.11 - 1.24、≥1.25 g/L）。使用SPSS提取数据，并进行描述性和推断性统计分析。统计检验显示三组在血红蛋白水平和妊娠期糖尿病发病率方面存在显著差异（p < 0.001）。血红蛋白水平较高的女性患妊娠期糖尿病的风险增加（RR = 3.94，95%CI = 1.73 - 8.95）。
结论
妊娠早期的血红蛋白水平似乎可被视为妊娠期糖尿病的一个选择性筛查因素。
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