河北医学
河北醫學
하북의학
HEBEI MEDICINE
2015年
7期
1067-1070
,共4页
代明甫%李倩%钟思燕%杨霜雪%邬小臣
代明甫%李倩%鐘思燕%楊霜雪%鄔小臣
대명보%리천%종사연%양상설%오소신
糖代谢异常%妊娠期糖尿病%危险因素
糖代謝異常%妊娠期糖尿病%危險因素
당대사이상%임신기당뇨병%위험인소
Gestational abnormal glucose metabolism%Gestational diabetes mellitus%Risk factor
目的:探讨妇女妊娠期糖代谢异常分布情况及发病的相关危险因素,为预防和控制妊娠期糖尿病提供理论依据。方法:以我院2011年6月至2014年5月保健门诊确诊的妊娠期糖代谢异常的孕产妇100例为病例组,以糖代谢正常及孕周相同的孕产妇100例为对照组。调查两组孕产妇一般情况,分析妊娠期糖代谢异常相关因素。结果:Logistic回归分析发现糖尿病遗传史( OR=2.398,95%, CI:1.042~5.012)、年龄>28岁( OR=1.413,95%,CI:1.322~4.352)、体质指数>24( OR=6.543,95%, CI:0.782~2.320)、流产史( OR=0.212,95%,CI:0.025~2.256)、吸烟史( OR=0.246,95%,CI:0.045~3.452)是妊娠期糖尿病发病的危险因素。结论:年龄>28岁、体质指数>24、糖尿病遗传史、流产史、吸烟史的孕妇应在妊娠早期进行妊娠期糖尿病筛查。
目的:探討婦女妊娠期糖代謝異常分佈情況及髮病的相關危險因素,為預防和控製妊娠期糖尿病提供理論依據。方法:以我院2011年6月至2014年5月保健門診確診的妊娠期糖代謝異常的孕產婦100例為病例組,以糖代謝正常及孕週相同的孕產婦100例為對照組。調查兩組孕產婦一般情況,分析妊娠期糖代謝異常相關因素。結果:Logistic迴歸分析髮現糖尿病遺傳史( OR=2.398,95%, CI:1.042~5.012)、年齡>28歲( OR=1.413,95%,CI:1.322~4.352)、體質指數>24( OR=6.543,95%, CI:0.782~2.320)、流產史( OR=0.212,95%,CI:0.025~2.256)、吸煙史( OR=0.246,95%,CI:0.045~3.452)是妊娠期糖尿病髮病的危險因素。結論:年齡>28歲、體質指數>24、糖尿病遺傳史、流產史、吸煙史的孕婦應在妊娠早期進行妊娠期糖尿病篩查。
목적:탐토부녀임신기당대사이상분포정황급발병적상관위험인소,위예방화공제임신기당뇨병제공이론의거。방법:이아원2011년6월지2014년5월보건문진학진적임신기당대사이상적잉산부100례위병례조,이당대사정상급잉주상동적잉산부100례위대조조。조사량조잉산부일반정황,분석임신기당대사이상상관인소。결과:Logistic회귀분석발현당뇨병유전사( OR=2.398,95%, CI:1.042~5.012)、년령>28세( OR=1.413,95%,CI:1.322~4.352)、체질지수>24( OR=6.543,95%, CI:0.782~2.320)、유산사( OR=0.212,95%,CI:0.025~2.256)、흡연사( OR=0.246,95%,CI:0.045~3.452)시임신기당뇨병발병적위험인소。결론:년령>28세、체질지수>24、당뇨병유전사、유산사、흡연사적잉부응재임신조기진행임신기당뇨병사사。
Objective:To explore risk factors of abnormal glucose metabolism in gestation period, and provide the theory basis for the clinical prevention and treatment of gestational diabetes mellitus ( GDM ) . Method:A case-control study was conducted on 100 pregnant women with clinically confirmed gestational abnormal glucose metabolism as study group, and 100 pregnant women of same gestational weeks with normal glucose metabolism as control group from Jun.2011 to May 2014.The general information, gestational mate-rials and behaviors of the two groups were investigated and the risk factors of abnormal glucose metabolism in gestation period were analyzed.Result:Multi-factor logistic regression analysis showed that diabetes family history ( OR =2.398, 95%CI 1.042~5.012) , age was more than 28 years ( OR=1.413, 95%CI 1.322~4. 352) , BMI>24 ( OR=6.543, 95%CI 0.782~2.320) , abortion history ( OR=0.212, 95%CI 0.025~2. 256) , smoking history ( OR=0.246, 95%CI 0.045~3.452) were the risk factor of GDM morbidity.Con-clusion:Pregnant women with diabetes family history,>28 years, BMI>24,history of abortion and smoking should undergo gestational diabetes screening during early trimester of pregency.