CAJ | 학술논문

目的：筛查并了解孕妇空腹血糖的水平，为妊娠期血糖控制提供保健指导依据。方法收集安庆市妇幼保健所门诊首次产检的4724例孕妇的孕检资料，对其空腹血糖水平进行分析。结果4724例孕妇中，空腹血糖最小值为2．65mmol/L，最大值为12．20mmol/L，平均水平为（4．59±0．01）mmol/L。不同年龄、不同孕周、不同身体质量指数孕妇血糖平均值比较差异均有统计学意义（F值分别为17．082、3．734、32．879，均P＜0．05）；将年龄、孕周、BMI进行因子分析，各因素对血糖贡献率：年龄为44．94％，孕周为35．31％，BMI值为19．75％。结论应加强妊娠期血糖的监测和筛查，控制引起孕妇血糖升高的相关影响因素，避免不良妊娠结局。
목적：사사병료해잉부공복혈당적수평，위임신기혈당공제제공보건지도의거。방법수집안경시부유보건소문진수차산검적4724례잉부적잉검자료，대기공복혈당수평진행분석。결과4724례잉부중，공복혈당최소치위2．65mmol/L，최대치위12．20mmol/L，평균수평위（4．59±0．01）mmol/L。불동년령、불동잉주、불동신체질량지수잉부혈당평균치비교차이균유통계학의의（F치분별위17．082、3．734、32．879，균P＜0．05）；장년령、잉주、BMI진행인자분석，각인소대혈당공헌솔：년령위44．94％，잉주위35．31％，BMI치위19．75％。결론응가강임신기혈당적감측화사사，공제인기잉부혈당승고적상관영향인소，피면불량임신결국。
Objective To screen and understand the level of fasting blood glucose in pregnant women , so as to provide basis for health guidance on blood glucose control in pregnancy .Methods Pregnancy examination data of 4 724 pregnant women visiting the out-patient clinic of Anqing Municipal Maternity and Child Health Hospital for the first time were collected , and the fasting blood glucose level of them was analyzed.Results The mean level of fasting blood glucose was 4.59 ±0.01 mmol/L, ranging from 2.65mmol/L to 12.20mmol/L. There were significant differences in mean level of fasting blood glucose among patients of different age , gestational age and BMI ( F value was 17.082, 3.734 and 32.879, respectively, all P<0.05).Factor analysis showed that the contribution rate of age , gestational weeks and BMI was 44.94%, 35.31% and 19.75%, respectively.Conclusion Monitoring and screening of blood glucose during pregnancy should be strengthened , and the related factors should be controlled in order to avoid adverse pregnancy outcomes .