820例妊娠期糖尿病孕妇的高危因素分析

发布时间：2019-07-27 11:14

【摘要】：目的探讨妊娠期糖尿病发病的高危因素。方法 2013年9月17日至2014年3月3日在北京友谊医院行产前保健、完成75 g口服葡萄糖耐量试验,并顺利完成分娩的孕妇共820例,其中诊断为妊娠期糖尿病167例(GDM组),同期正常孕妇653例(非GDM组)。收集两组孕妇的临床资料进行单因素和多因素Logistic回归分析。结果 1对GDM发病有统计学意义的危险因素有孕妇年龄(OR=1.308,95CI%:1.001~1.710),早孕期空腹血糖水平(OR=4.165,95CI%:2.515~6.895),孕早期体质量指数(OR=2.259,95CI%:1.559~3.273),中孕期体质指数增长(OR=1.370,95CI%:1.050~1.788);2校正其他高危因素的混杂作用,早孕期空腹血糖4.4 mmol/L、4.4~5.1 mmol/L、5.1 mmol/L发生GDM的概率分别为11.1%、24.9%、42.9%。早孕期体质量指数23.5组和≥23.5组发生GDM的概率分别为15.2%,31.5%,将孕妇年龄分组(29岁、29~34岁,≥35岁)后发生GDM的概率为16.0%,22.0%,31.0%。结论孕妇年龄、早孕期空腹血糖、孕早期体质量指数、中孕期体质量指数增长≥2.2 kg/m2为GDM发病的独立危险因素。
[Abstract]:Objective to investigate the high risk factors of gestational diabetes mellitus (GDM). Methods from September 17, 2013 to March 3, 2014, 820 pregnant women with 75 g oral glucose tolerance test were completed in Beijing Friendship Hospital, including 167 cases of gestational diabetes mellitus (GDM group) and 653 cases of normal pregnant women (non-GDM group). The clinical data of the two groups of pregnant women were collected for univariate and multivariate Logistic regression analysis. Results 1 the risk factors for the incidence of GDM were age of pregnant women (OR=1.308,95CI%:1.001~1.710), fasting blood glucose level (OR=4.165,95CI%:2.515~6.895), body mass index (OR=2.259,95CI%:1.559~3.273) and body mass index (OR=1.370,95CI%:1.050~1.788) during early pregnancy. (2) to correct the mixed effect of other high risk factors, the probability of GDM in fasting blood glucose 4.4 mmol/L,4.4~5.1 mmol/L,5.1 mmol/L during early pregnancy was 11.1%, 24.9% and 42.9%, respectively. The probability of GDM in 23.5 group and 鈮，

本文编号：2519961