海南医学
海南醫學
해남의학
Hainan Medical Journal
2015年
20期
2998-3000
,共3页
妊娠期糖尿病%危险因素%连云港
妊娠期糖尿病%危險因素%連雲港
임신기당뇨병%위험인소%련운항
Gestational diabetes mellitus%Risk factor%Lianyungang
目的 探讨在新诊断标准下连云港地区妊娠期糖尿病(GDM)的危险因素,为加强早期干预及规范管理提供依据.方法 采用回顾性研究的方法,采集2013年1月至2014年12月在连云港市妇幼保健信息平台登记并在我院建卡的2 983例孕妇资料,根据GDM发病与否分为GDM组和正常组,对两组患者的年龄、孕前BMI、糖尿病家族史、GDM史、巨大儿分娩史、多囊卵巢病史、甲状腺疾病史、乙肝表面抗原阳性、高脂血症等临床参数进行多因素非条件Logistic回归分析.结果 2 983例孕妇中,312例患有GDM,发病率为10.46%.GDM危险因素的二分类Logistic回归分析显示,GDM发病的影响因素为饮食、孕前BMI、多囊卵巢、糖尿病家族史、高血压家族史、GDM史、甲状腺疾病、高血压、高脂血症、死胎病史、胰岛素抵抗、巨大儿分娩史(P<0.05).结论 连云港地区GDM发病率为10.46%,GDM的发病和孕前BMI、高血压、高血脂症等高度相关,改变不良的饮食习惯及生活方式能降低GDM的罹患率,确保母婴健康.
目的 探討在新診斷標準下連雲港地區妊娠期糖尿病(GDM)的危險因素,為加彊早期榦預及規範管理提供依據.方法 採用迴顧性研究的方法,採集2013年1月至2014年12月在連雲港市婦幼保健信息平檯登記併在我院建卡的2 983例孕婦資料,根據GDM髮病與否分為GDM組和正常組,對兩組患者的年齡、孕前BMI、糖尿病傢族史、GDM史、巨大兒分娩史、多囊卵巢病史、甲狀腺疾病史、乙肝錶麵抗原暘性、高脂血癥等臨床參數進行多因素非條件Logistic迴歸分析.結果 2 983例孕婦中,312例患有GDM,髮病率為10.46%.GDM危險因素的二分類Logistic迴歸分析顯示,GDM髮病的影響因素為飲食、孕前BMI、多囊卵巢、糖尿病傢族史、高血壓傢族史、GDM史、甲狀腺疾病、高血壓、高脂血癥、死胎病史、胰島素牴抗、巨大兒分娩史(P<0.05).結論 連雲港地區GDM髮病率為10.46%,GDM的髮病和孕前BMI、高血壓、高血脂癥等高度相關,改變不良的飲食習慣及生活方式能降低GDM的罹患率,確保母嬰健康.
목적 탐토재신진단표준하련운항지구임신기당뇨병(GDM)적위험인소,위가강조기간예급규범관리제공의거.방법 채용회고성연구적방법,채집2013년1월지2014년12월재련운항시부유보건신식평태등기병재아원건잡적2 983례잉부자료,근거GDM발병여부분위GDM조화정상조,대량조환자적년령、잉전BMI、당뇨병가족사、GDM사、거대인분면사、다낭란소병사、갑상선질병사、을간표면항원양성、고지혈증등림상삼수진행다인소비조건Logistic회귀분석.결과 2 983례잉부중,312례환유GDM,발병솔위10.46%.GDM위험인소적이분류Logistic회귀분석현시,GDM발병적영향인소위음식、잉전BMI、다낭란소、당뇨병가족사、고혈압가족사、GDM사、갑상선질병、고혈압、고지혈증、사태병사、이도소저항、거대인분면사(P<0.05).결론 련운항지구GDM발병솔위10.46%,GDM적발병화잉전BMI、고혈압、고혈지증등고도상관,개변불량적음식습관급생활방식능강저GDM적리환솔,학보모영건강.
Objective To investigate the correlation risk factors of gestational diabetes mellitus (GDM) in Li-anyungang in order to provide basis for early intervention and standardizing the management. Methods The clinical data of 2 983 pregnant women registered in the maternal and child health information platform in Lianyungang be-tween January 2013 and December 2014 were collected and retrospectively analyzed. The women were divided into the GDM group and control group according to whether they have GDM or not. Multi-factor unconditioned Logistic regression analysis was conducted on age, body mass index (BMI), family history of diabetes, a history of GDM be-fore childbirth, macrosomia delivery history, history of polycystic ovary disease, thyroid disease, hepatitis B surface antigen (HBsAg)-positive, hyperlipidemia of the two groups. Results Among the 2 983 pregnant women, 312 were found with gestational diabetes, with the incidence of GDM of 10.46%. Multiariable Logistic regression analysis showed that the influence factors of the onset of GDM were diet, pregnant BMI, polycystic ovary, family history of di-abetes, family history of hypertension, history of GDM, thyroid disease, hypertension, hyperlipidemia, stillbirth, insu-lin resistance, history of macrosomia delivery (P<0.05).Conclusion The pathogenesis of GDM is highly correlated with BMI, hypertension, and hyperlipidemia. The incidence of GDM could be effectively reduced by changing the un-healthy eating habits and lifestyle.
