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| 8 264例住院孕妇妊娠期糖尿病的发病率及其危险因素分析 | |
| 引用本文： | 潘旭,郭文晴,陈元花,赵会. 8 264例住院孕妇妊娠期糖尿病的发病率及其危险因素分析[J]. 现代预防医学, 2019, 0(20): 3719-3723 |
| 作者姓名： | 潘旭 郭文晴 陈元花 赵会 |
| 作者单位： | 海南妇产科医院检验科，海南 海口570105 |
| 摘 要： | 目的 分析8 264例住院孕妇妊娠期糖尿病（GDM）的发病情况及危险因素，为其防治提供依据。方法 收集2013年1月 - 2018年12月在海南妇产科医院住院分娩的孕妇8 264例，参考2010年国际妊娠糖尿病研究协会（IADPSG）制定的GDM诊断标准分为GDM组（n = 1 207）和非GDM组（n = 7 057）。采用自行设计的调查表收集相关临床资料，应用单因素及多因素logistic回归分析GDM发生的危险因素。结果 8 264例孕妇发生GDM 1 207例，GDM发病率为14.61％。多因素logistic回归分析显示，年龄≥35岁（OR = 2.337，95%CI:1.512～5.480）、孕前BMI≥25 kg/m2（OR = 3.193，95%CI:2.485～10.108）、孕次≥3次（OR = 2.104，95%CI:1.382～4.927）、产次≥3次（OR = 1.862，95%CI:1.204～3.218）、流产次数≥2次（OR = 2.902，95%CI:2.114～7.913）、高能量摄食（OR = 5.714，95%CI:4.526～12.685）及饮食不规律（OR = 3.319，95%CI:2.905～10.794）是GDM发生的危险因素。结论 年龄≥35岁、孕前BMI≥30岁、孕次≥3次、产次≥3次、流产次数≥2次、高能量摄食及饮食不规律是GDM发生的危险因素，临床上应对此类孕妇加强GDM的早期筛查。 |
| 关 键 词： | 妊娠期糖尿病 发病率 危险因素 |
Incidence and risk factors of gestational diabetes mellitus in 8264 hospitalized pregnant women |
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| PAN Xu,GUO Wen-qing,CHEN Yuan-hua,ZHAO Hui. Incidence and risk factors of gestational diabetes mellitus in 8264 hospitalized pregnant women[J]. Modern Preventive Medicine, 2019, 0(20): 3719-3723 | |
| Authors: | PAN Xu GUO Wen-qing CHEN Yuan-hua ZHAO Hui |
| Affiliation: | Department of Clinical Laboratory, Hainan Obstetrics and Gynecology Hospital, Haikou,Hainan 570105, China |
| Abstract: | Objective To analyze the incidence and risk factors of gestational diabetes mellitus (GDM) in 8 264 hospitalized pregnant women. Methods 8 264 pregnant women who delivered in Hainan Obstetrics and Gynecology Hospital from January 2013 to December 2018 were recruited. According to the diagnostic criteria of GDM established by the International Association for Pregnancy Diabetes Research (IADPSG) in 2010, they were divided into GDM group (1 207 cases) and non-GDM group(7 057 cases). A self-designed questionnaire was used to collect relevant clinical data, and univariate and multivariate Logistic regression were used to analyze the risk factors of GDM. Results There were 1 207 cases of GDM in 8 264 pregnant women, and the incidence of GDM was 14.61%. Multivariate Logistic regression analysis showed that age≥35 years old(OR=2.337, 95%CI: 1.512-5.480), pregnancy of BMI ≥25 kg/m2(OR=3.193, 95%CI: 2.485-10.108), times of pregnancy ≥3 (OR=2.104, 95%CI: 1.382-4.927), times of production ≥3 (OR=1.862, 95%CI: 1.204-3.218), abortion times ≥2 (OR=2.902, 95%CI: 2.114-7.913), high energy intake (OR=5.714, 95%CI: 4.526-12.685) and irregular diet (OR=3.319, 95%CI: 2.905-10.794) were risk factors for GDM. Conclusion Age≥35 years old, pregnancy of BMI ≥25 kg/m2, times of pregnancy≥3, times of production ≥3, abortion times ≥2, high energy intake and irregular diet are risk factors for GDM. Early screening of GDM should be strengthened in such pregnant women clinically. |
| Keywords: | Gestational diabetes mellitus Incidence Risk factors |
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