妊娠糖尿病危险因素的病例对照研究

摘要 目的：探讨妊娠糖尿病的危险因素，为以后的干预研究提供理论基础。方法：采用1：2病例对照研究的方法，研究妊娠糖尿病的危险因素，单因素采用卡方检验，多因素采用条件Logistic回归分析。结果：文化程度、孕前BMI、首珍腰围、首珍腰髋比、糖尿病家族史、高血压家族史的OR值和95%CI分别为：1.829 (1.250-2.057)、1.589 （1.247-1.900）、2.197 （1.110-4.349）、2.238 （1.798-3.920）、3.015 （1.851-5.192）、2.824（1.621-4.596）。结论：文化程度、孕前BMI、首诊腰围、首诊腰髋比、糖尿病家族史、高血压家族史是妊娠糖尿病的危险因素，以后这些人群应作为重点干预对象。 关键词 妊娠糖尿病 病例对照研究 危险因素

A case-control study on risk factors of gestational diabetes mellitus

Abstract Objective : To investigate the risk factors of gestational diabetes mellitus and provide the basis for intervention. Methods: The method of 1:2 matched case-control study was used to study the risk fators of gestational diabetes mellitus.The chi-square test was used in univariate analusis and Logistic regression was used in multivariate analusis. Results: The odd ratio and 95% confidence interval of education levels, pre-pregnancy BMI, pregnancy waist, pregnancy waist hip ratio, family history of diabetes and family history of hypertension were 1.829 (1.250-2.057), 1.589 （1.247-1.900）, 2.197 （1.110-4.349）, 2.238 （1.798-3.920）, 3.015 （1.851-5.192）, 2.824（1.621-4.596）.Conclusions: The risk factors of gestational diabetes mellitus were education levels, pre-pregnancy BMI, pregnancy waist, pregnancy waist hip ratio, family history of diabetes and family history of hypertension. So people with those should be intervened firstly.