2588例孕妇糖耐量筛查及相关因素分析

目的：调查上海市某三级医院妊娠期糖尿病(GDM)的发病率并探讨其发病的危险因素。方法：采用回顾性研究的方法,选取该院2014年1月至12月分娩的孕妇作为研究对象,通过查阅病史的方式收集数据,运用t检验、卡方检验及二元Logistic回归分析进行数据分析。结果：(1)GDM的发病率为9.3%,GDM组的平均年龄高于非GDM组(P=0.000),且年龄分组也有明显差异(P=0.000)；(2)GDM组孕期增重低于非GDM组(P=0.000),GDM组在产次和胎数上与非GDM组有差异(P=0.027、P=0.000),但在是否流产上无统计学差异(P=0.271)；(3)GDM组平均红细胞数、血红蛋白水平高于非GDM组(P=0.024 、P=0.001)；(4)Logistic回归分析显示,孕妇年龄增长、双胎和血红蛋白水平较高是GDM的独立危险因素。结论：孕妇年龄增长、双胎是GDM的独立危险因素。

Analysis of Glucose Tolerance Screening and its Related Factors of 2588 Pregnant WomenGuo Huijie Wang Jiping

Objective: To investigate the incidence and risk factors of gestational diabetes mellitus in a three level hospital in Shanghai. Methods: Through retrospective study, the pregnant women who have given childbirth in the Hospital from January to December, 2014 as our research objects. We collected related data through looking up their medical history. We conducted the gathered information by T test, Chi square test and multivariate Logistic regression analysis to study the effect of each factor on the incidence of gestational diabetes mellitus. Results:(1) The incidence of gestational diabetes was 9.3%.The average age in GDM group was higher than that in the non-GDM group(P=0.000),and age groups also had significant differences(P=0.000).(2) The average weight gain during pregnancy in GDM group was lower than that in non-GDM group(P=0.000). The multiparas and twin pregnancy had significant differences(P=0.027,P=0.000).(3) The average red cell number and hemoglobin level in GDM group was higher than that in non-GDM group(P=0.024,P=0.001). (4) Logistic regression shows that advanced maternal age,twin pregnancy and higher hemoglobin level are risk factors for GDM. Conclusion: Advanced maternal age ,twin pregnancy and higher hemoglobin level are independent risk factors.