The Journal of Shahid Sadoughi University of Medical Sciences
مجله علمي پژوهشي دانشگاه علوم پزشكي شهید صدوقی يزد
JSSU
Medical Sciences
http://jssu.ssu.ac.ir
20
journal20
2228-5741
2228-5733
fa
jalali
1401
6
1
gregorian
2022
9
1
30
6
online
1
fulltext
fa
بررسی روند رشد شیرخواران در مادران سالم و مبتلا به دیابت بارداری شهرستان رفسنجان در سال 1396
Study of Growth Process of Infants in Healthy and Gestational Diabetes Mothers in Rafsanjan City in 2017
اطفال
Pediatrics
پژوهشي
Original article
<div style="text-align: justify;"><span style="font-size:11pt"><span style="line-height:18.0pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">مقدمه:</span></span></b> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">دیابت بارداری </span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">(</span></span><span dir="LTR" new="" roman="" style="font-family:" times="">GDM</span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">) میتواند بر شاخصهای رشد نوزادان تاثیرگذار باشد. مطالعه حاضر با هدف بررسی و مقایسه روند رشد شیرخواران زیر 2 سال مادران مبتلا به </span></span><span dir="LTR" new="" roman="" style="font-family:" times="">GDM</span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> و سالم در شهرستان رفسنجان انجام شد.</span></span><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:18.0pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">روش بررسی:</span></span></b> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">این </span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">مطالعه بهصورت مقطعی روی 208 شیرخوار زیر 2 سال مادران سالم (104 شیرخوار) و مبتلا به دیابت بارداری (104 شیرخوار) در سال 1396 اجرا شد. شاخصهای وزن، قد و دورسر در بدو تولد، 6، 12 و 18 ماهگی اندازهگیری گردید. گلوکز سرم ناشتا بالای </span></span><span dir="LTR" new="" roman="" style="font-family:" times="">mg/dl</span><span style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> 126پس از 8 ساعت ناشتایی به عنوان </span></span><span dir="LTR" new="" roman="" style="font-family:" times="">GDM</span><span style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> درنظر گرفته شد. آنالیز اطلاعات با استفاده از نرمافزار </span></span><span dir="LTR" new="" roman="" style="font-family:" times="">SPSS</span> <span dir="LTR" new="" roman="" style="font-family:" times="">version 16</span><span style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> و آزمونهای </span></span><span dir="LTR" new="" roman="" style="font-family:" times="">t</span><span style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> مستقل، کایدو و آنالیز واریانس اندازههای مکرر</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">انجام گردید. سطح معنیداری در آزمونها 0/05 در نظر گرفته شد.</span></span><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:18.0pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">نتایج:</span></span></b> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">میانگین سن مادران دیابتی 5/3 </span></span><span lang="AR-SA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">±</span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> 31/8 و مادران سالم 5/5 </span></span><span lang="AR-SA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">±</span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> 29/2 سال بود. زایمان سزارین در 73/1 درصد مادران مبتلا به </span></span><span dir="LTR" new="" roman="" style="font-family:" times="">GDM </span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> و 57/7 درصد مادران سالم گزارش شد (</span></span><span dir="LTR" new="" roman="" style="font-family:" times="">P=0.020</span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">)</span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">. تغییرات شاخصهای وزن، قد و دور</span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"><span style="color:black">سر در دو گروه در زمانهای بدو تولد، 6 ماه، 12 ماه و 18 ماه بعد از تولد </span></span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">روند افزایشی داشت که در شیرخواران مادران مبتلا به </span></span><span dir="LTR" new="" roman="" style="font-family:" times="">GDM</span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> بیشتر بود</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">(</span></span><span dir="LTR" new="" roman="" style="font-family:" times="">P<0.001</span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">).</span></span> <span dir="LTR" style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif""></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:18.0pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">نتیجهگیری:</span></span></b> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">روند تغییرات <span style="color:black">شاخصهای وزن، قد و دور سر </span></span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">شیرخوار</span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"><span style="color:black">ان متولد شده از مادران مبتلا به </span></span></span><span dir="LTR" new="" roman="" style="font-family:" times=""><span style="color:black">GDM</span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"><span style="color:black"> بیشتر بود.</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""></span></span></span></span></span></span></span><br>
</div>
<div style="text-align: justify;"><span style="font-size:11pt"><span style="line-height:18.0pt"><span calibri="" style="font-family:"><b><span new="" roman="" style="font-family:" times="">Introduction:</span></b> <span new="" roman="" style="font-family:" times="">Gestational diabetes (GDM) can affect neonatal developmental indicators. The aim of this study was to evaluate and compare the growth process of infants less than 2 years of age with GDM and healthy mothers in Rafsanjan City.</span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:18.0pt"><span calibri="" style="font-family:"><b><span new="" roman="" style="font-family:" times="">Methods:</span></b> <span new="" roman="" style="font-family:" times="">This cross-sectional study was performed on 208 neonates under 2 years of age from healthy mothers (104 neonates) and GDM mothers (104 neonates) in Rafsanjan City in 2017. Weight, height and head circumference were measured at birth, 6, 12 and 18 months. Fasting serum glucose above 126 mg/dl after 8 hours of fasting was considered as GDM. Data analysis was performed using SPSS 16 software and independent t-test, Chi-square and repeated measures analysis. Significant level was considered 0.05.</span><span style="font-family:"Times New Roman","serif""></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:18.0pt"><span calibri="" style="font-family:"><b><span new="" roman="" style="font-family:" times="">Results:</span></b><b> </b><span new="" roman="" style="font-family:" times="">The mean age of GDM mothers was 31.8±5.3 and healthy mothers were 29.2±5.5 years. Cesarean delivery was reported in 73.1% of mothers with GDM and in 57.7% of healthy mothers (P = 0.020). Changes in weight, height and head circumference in the two groups at birth, 6 months, 12 months and 18 months after birth had an increasing process that was higher in infants of mothers with GDM (P <0.001).</span><span style="font-family:"Times New Roman","serif""></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:18.0pt"><span calibri="" style="font-family:"><b><span new="" roman="" style="font-family:" times="">Conclusion:</span></b><b> </b><span new="" roman="" style="font-family:" times="">The process of weight, height and head circumference changes in infants born to mothers with GDM was higher.</span><span style="font-family:"Times New Roman","serif""></span></span></span></span><br>
</div>
دیابت بارداری, روند رشد, وزن, قد, دورسر, شیرخوار
Gestational diabetes, Growth process, Weight, Height, Head circumference, Infant.
4949
4958
http://jssu.ssu.ac.ir/browse.php?a_code=A-10-4795-1&slc_lang=fa&sid=1
Fatemeh
Jalali
فاطمه
جلالی
Fajalali.90@gmail.com