中国当代医药2024,Vol.31Issue(10) :118-121.

妊娠糖尿病母亲的新生儿血清25-羟维生素D3、胰岛素水平与胰岛素抵抗的相关性

Correlation between serum 25 hydroxyvitamin D3,insulin levels and in-sulin resistance in newborns of pregnant women with diabetes

张丽扬 蔡洁娜 潘美靖 肖伟年
中国当代医药2024,Vol.31Issue(10) :118-121.

妊娠糖尿病母亲的新生儿血清25-羟维生素D3、胰岛素水平与胰岛素抵抗的相关性

Correlation between serum 25 hydroxyvitamin D3,insulin levels and in-sulin resistance in newborns of pregnant women with diabetes

张丽扬 1蔡洁娜 2潘美靖 1肖伟年1
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作者信息

  • 1. 广东省普宁市人民医院检验科,广东普宁 515300
  • 2. 广东省普宁市人民医院科教科,广东普宁 515300
  • 折叠

摘要

目的 分析妊娠糖尿病母亲的新生儿血清25-羟维生素D3[25(OH)D3]、胰岛素水平与胰岛素抵抗的相关性.方法 选取2023年1月至6月普宁市人民医院接收60例妊娠糖尿病患者娩出的新生儿作为观察组,并选取2023年1月至6月普宁市人民医院接收60例健康孕妇娩出的新生儿作为对照组.两组新生儿在出生后不同时间点采集血样,比较两组新生儿在出生后不同时间点血糖、血清25(OH)D3、胰岛素水平与胰岛素抵抗指数的差异,并分析妊娠糖尿病患者娩出的新生儿血清25(OH)D3、胰岛素水平与血糖、胰岛素抵抗指数的相关性.结果 观察组出生24、48 h的血糖、血清25(OH)D3水平高于出生12 h,血清胰岛素、胰岛素抵抗指数低于出生12 h,差异有统计学意义(P<0.05);对照组出生12、24、48 h血糖、血清25(OH)D3、血清胰岛素、胰岛素抵抗指数比较,差异无统计学意义(P>0.05).观察组出生12 h的血糖、血清25(OH)D3水平低于对照组,血清胰岛素、胰岛素抵抗指数高于对照组,差异有统计学意义(P<0.05).妊娠糖尿病患者娩出新生儿出生12、24、48 h的血清25(OH)D3与血糖水平呈正相关性(P<0.05),与胰岛素抵抗指数呈负相关性(P<0.05);妊娠糖尿病患者娩出新生儿出生12、24、48 h的胰岛素水平与血糖水平呈负相关性(P<0.05),与胰岛素抵抗指数呈正相关性(P<0.05).结论 妊娠糖尿病患者娩出新生儿的血清25(OH)D3相比于健康孕妇娩出新生儿要更低,胰岛素水平相比于健康孕妇娩出新生儿要更高,且与血糖水平、胰岛素抵抗指数存在相关性,可通过观察这两个指标评估妊娠糖尿病患者娩出新生儿的健康状况.

Abstract

Objective To analyze the correlation between serum 25-hydroxyvitamin D3(25[OH]D3),insulin levels and in-sulin resistance in newborn mothers with gestational diabetes mellitus.Methods Sixty newborns of gestational diabetes pa-tients received in Puning People's Hospital from January to June 2023 were selected as the observation group,and 60 new-borns of healthy pregnant women received in Puning People's Hospital from January 2023 to June 2023 were selected as the control group.Blood samples were collected at different time points after birth,and the differences of blood glucose,serum 25(OH)D3,insulin level and insulin resistance index were compared between the two groups.The correlations of serum 25(OH)D3 and insulin levels with blood glucose and insulin resistance index of newborn babies born with gestational diabetes were analyzed.Results The blood glucose and serum 25(OH)D3 levels in the observation group at 24 and 48 h were higher than those at 12 h,and the serum insulin and insulin resistance index were lower than those at 12 h,with statistical signifi-cances(P<0.05).There were no significant differences in blood glucose,serum 25(OH)D3,serum insulin and insulin resis-tance index in control group at 12,24 and 48 h after birth(P>0.05).The blood glucose and serum 25(OH)D3 levels in the observation group at 12 h after birth were lower than those in the control group,and the serum insulin and insulin resistance index were higher than those in the control group,with statistical significances(P<0.05).The serum 25(OH)D3 was posi-tively correlated with blood glucose level(P<0.05),and negatively correlated with insulin resistance index(P<0.05).There was a negative correlation between insulin level and blood glucose level(P<0.05)and a positive correlation between insulin resistance index(P<0.05).Conclusion The serum 25(OH)D3 of newborns born of gestational diabetes mellitus is lower than that of healthy pregnant women,and the insulin level is higher than that of healthy pregnant women,and there is a correlation with blood glucose level and insulin resistance index.These two indicators can be observed to evaluate the health status of newborns born of gestational diabetes mellitus.

关键词

妊娠糖尿病/新生儿/血清25(OH)D3/胰岛素/胰岛素抵抗/相关性

Key words

Gestational diabetes mellitus/A newborn/Serum 25(OH)D3/Insulin/Insulin resistance/Correlation

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基金项目

广东省揭阳市卫生健康局医学科学技术研究推广应用新技术新立项项目(揭市卫[2023]42号)

出版年

2024
中国当代医药
中国保健协会 当代创新(北京)医药科学研究院

中国当代医药

影响因子:1.215
ISSN:1674-4721
参考文献量20
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