CAJ | 학술논문

[目的]探讨妊娠期糖尿病（GDM）患者产后1年糖代谢转归情况及影响因素。[方法]选择2009年1月至2011年10月经75 g 葡萄糖负荷试验（OGTT）诊断为 GDM 并随访至产后1年者92例，根据 GDM孕妇产后1年 OGTT 结果分为糖代谢正常组（NG 组），糖代谢异常组（AG 组），采用多因素 logistic 回归模型对其进行糖代谢影响因素分析。[结果]在产后1年92例 GDM 患者中糖代谢异常检出率为28．3％（26/92）；Logistic 回归模型分析显示，诊断 GDM 孕周早、糖尿病家族史、孕前 BMI 高、OGTT 2 h 血糖值高为产后糖代谢异常的危险因素。[结论]GDM 患者产后1年仍存在糖代谢紊乱，对 GDM 孕周早、糖尿病家族史、孕前 BMI 高、OGTT 2 h 血糖值高的孕妇要加强产后随访。
[목적]탐토임신기당뇨병（GDM）환자산후1년당대사전귀정황급영향인소。[방법]선택2009년1월지2011년10월경75 g 포도당부하시험（OGTT）진단위 GDM 병수방지산후1년자92례，근거 GDM잉부산후1년 OGTT 결과분위당대사정상조（NG 조），당대사이상조（AG 조），채용다인소 logistic 회귀모형대기진행당대사영향인소분석。[결과]재산후1년92례 GDM 환자중당대사이상검출솔위28．3％（26/92）；Logistic 회귀모형분석현시，진단 GDM 잉주조、당뇨병가족사、잉전 BMI 고、OGTT 2 h 혈당치고위산후당대사이상적위험인소。[결론]GDM 환자산후1년잉존재당대사문란，대 GDM 잉주조、당뇨병가족사、잉전 BMI 고、OGTT 2 h 혈당치고적잉부요가강산후수방。
[Objective]To explore the outcome of glucose metabolism in women with gestational diabetes mellitus(GDM)one year after delivery and the influential factors.[Methods]Totally 92 women with GDM di-agnosed by oral glucose tolerance test(OGTT)and followed up for one year after delivery in our hospital from Jan.2009 to Dec.2011 were chosen.According to OGTT results one year after delivery,All pregnant women with GDM were divided into normal glucose metabolism(NG)group and abnormal glucose metabolism(AG) group.Multivariate logistic regression model was used to analyze the factors affecting glucose metabolism.[Results]The detection rate of AG in 92 GDM patients one year after delivery was 28.3%(26/29).Logistic regression model showed that GDM at early gestational age,family history of diabetes mellitus,high progesta-tion body mass index(BMI)and high OGTT 2h plasma glucose were high risk factors of postpartum abnormal glucose metabolism.[Conclusion]Women with GDM one year after delivery has glucose metabolism disorder. Pregnant women with GDM at early gestational age,family history of diabetes mellitus,high progestation BMI and high OGTT 2h plasma glucose should be followed up after delivery.