2000例妊娠期糖尿病筛查及影响因素分析

发布时间：2018-01-05 06:35

本文关键词：2000例妊娠期糖尿病筛查及影响因素分析　出处：《广西医科大学学报》2016年06期 　论文类型：期刊论文

【摘要】：目的:了解广西贵港市三区(覃塘区、港南区、港北区)妊娠期糖尿病(GDM)的患病情况及其影响因素。方法:2014~2016年广西医科大学第八附属医院对贵港市三区(覃塘区、港南区、港北区)2 000例孕妇在妊娠24~28周采用口服葡萄糖耐量试验(OGTT)进行GDM筛查。由经过严格培训的医护人员以现场询问和调查问卷的方式进行调查记录。筛查结束后计算GDM患病率,并采用单因素及多因素条件Logistic回归分析对疾病的影响因素进行分析。结果:2 000例调查对象中,GDM患病率为12.1%。单因素及多因素条件Logistic回归分析结果显示,有糖尿病家族史、孕前或孕期超重是GDM的危险因素(均P0.01),孕期运动是GDM的保护因素。结论:广西贵港市三区GDM患病率高,应引起高度重视,应注意进行正规GDM筛查。有糖尿病家族史、孕前或孕期超重的孕妇应特别重视GDM筛查,孕前及孕期应注意适当运动,控制体重。
[Abstract]:Objective: to understand the three districts of Guigang City, Guangxi (Qintang District, Southern District of Hong Kong). The prevalence of GDM in gestational diabetes mellitus (GDM) and its influencing factors were analyzed in 8th affiliated Hospital of Guangxi Medical University from April to 2016 in the third District of Guigang City (Qintang District, Southern District of Hong Kong). Oral glucose tolerance test (OGTT) was used in 2 000 pregnant women at 24 weeks of gestation in the North District of Hong Kong. GDM screening was carried out. The survey records were recorded by strictly trained medical staff in the form of field inquiries and questionnaires. The prevalence rate of GDM was calculated after screening. Univariate and multivariate conditional Logistic regression analysis was used to analyze the influencing factors of the disease. The prevalence of GDM was 12. 1%. Univariate and multivariate conditional Logistic regression analysis showed that there was a family history of diabetes. Being overweight before or during pregnancy is the risk factor of GDM (all P 0.01), and exercise during pregnancy is the protective factor of GDM. Conclusion: the prevalence of GDM is high in the three districts of Guigang City, Guangxi, and should be paid more attention to. We should pay attention to regular GDM screening. There is a family history of diabetes. Pregnant women who are overweight before or during pregnancy should pay special attention to GDM screening and should pay attention to proper exercise and weight control before and during pregnancy.
【作者单位】：广西医科大学第八附属医院内分泌科;广西医科大学第八附属医院妇产科;
【分类号】：R714.256
【正文快照】： 1妇产科妊娠期糖尿病(gestational diabetes mellitus,GDM)是指妊娠前糖代谢正常或有潜在糖耐量减退,在妊娠期才出现或首次发现的糖尿病。糖尿病孕妇中约80%以上为GDM[1]。GDM对母儿均有较大危害,除可引起羊水过多、流产、早产、难产及死胎等不良妊娠结局外,还可引起巨大儿、

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