262例妊娠期糖代谢异常病例的发病相关因素分析

目的 了解浙江省余姚市妊娠期糖代谢异常的相关发病因素。 方法 对2009-2011年3月262例妊娠期糖代谢异常病例与189例对照组在相关因素方面进行比较,统计学方法采用u检验、χ2检验。 结果 病例组与对照组比较年龄均值差异有统计学意义;年龄χ2检验差异有统计学意义(PPP均PP结论 年龄均值>29岁GDM发生率增高,特别是年龄在≥35岁;<25岁孕妇不易发生糖代谢异常。病例组中妊娠期糖耐量受损组(GIGT)与GDM组比较,低体质指数者更易发生GIGT,而超重者更易发生妊娠期糖尿病。文化程度上,小学及文盲是GDM的高发因素,大专及以上学历是孕妇的保护因素,特别是本科及以上学历;孕次3次及以上、经产妇、极轻体力劳动较易发生妊娠期糖代谢异常。

Related factors of glycomebabolism disorder during pregnancy

Objective To understand the related factors of glycomebabolism disorder during pregnancy in Yuyao.Methods The analysis was conducted on the related factors between 262 cases of abnormal glucose metabolism during pregnancy(case group) and 189 cases(control group),with u test and χ2 test.Results The difference on age between case group and control group was statistical significant.The differences in women aged<25 years and ≥35 years were statistical significance(P<0.05).The differences in women with education levels ≤ primary school and ≥college had statistical significance(P<0.05).The differences in times of pregnancy and delivery were statistical significant(P<0.01).The difference in women with mild work intensity was statistical significant(P<0.05).The difference on the prevalence of high risk behaviors between 2 groups had statistical significance(P<0.05),ConclusionThe incidence of GDM was high in women with average age of >29 years.Glycomebabolism disorder occurred in less number in women aged ≥35 and <25 years.Gestational impaired glucose tolerance(GIGT) was more likely to occur in the women with low body mass index(BMI) and GDM was more likely to occur in overweight women.Low education level was the risk factor of glycomebabolism disorder during pregnancy,but the high education level was the protective factor.Glycomebabolism disorder during pregnancy was prone to occur in women with more than once pregnancy/delivery and in those with mild work intensity.