妊娠糖尿病发病率及危险因素分析

目的:了解徐州市妊娠糖尿病(GDM)发病率和危险因素。方法:随机选择2006~2007年徐州市4所三级医院产科就诊的孕妇进行调查,以中华医学会围产医学分会推荐的标准诊断GDM。结果:随机选择产前就诊的孕妇720例,GDM发病率为8.3%,单因素Logistic回归分析危险因素有:年龄≥25岁(OR:2.550,95%CI:1.067~6.094)、职业为农民(OR:6.869,95%CI:1.960~24.071)、文化程度(OR:0.717,95%CI:0.533~0.963)、经济收入(OR:0.712,95%CI:0.561~0.905)和体重(OR:1.036,95%CI:1.010~1.063)。多因素Logistic回归分析发现年龄≥25岁(OR:2.819,95%CI:1.129~7.038)、经济收入(OR:0.754,95%CI:0.571~0.996)和孕妇体重(OR:1.045,95%CI:1.015~1.075)仍是GDM的危险因素,结论:徐州市GDM发病率为8.3%,孕妇年龄≥25岁、低经济收入和高体重是GDM的危险因素。

The incidence and risk factors analysis of gestational diabetes mellitus

Objective:To explore the incidence and risk factors analysis of gestational diabetes mellitus (GDM).Methods:From 2006 to 2007, a random investigation and test was conducted within 4 hospitals by the recommended criterion of Chinese medical society.Results:A total of 720 pregnant women were investigated. The incidence of GDM was 8.3%. The predictors for a positive GDM by single-factor Logistic regression were: more than 25 years old (OR:2.550,95%CI:1.067~6.094), farmers (OR:6.869,95%CI:1.960~24.071), education (OR:0.717 ,95 %CI:0.533~0.963), income (OR:0.712, 95.%CI:0.561~0.905) and pregnancy weight (OR:1.036,95%CI:1.010~1.063). By multi-factors Logistic regression analysis, more than 25 years old (OR:2.819,95%CI:1.129~7.038), income(OR:0.754,95%CI:0.571~0.996)and weight (OR:1.045,95%CI:1.015~1.075)were still the risk factors of GDM. The incidence of GDM in Xuzhou was 8.3%.Conclusion:More than 25 years old, low income and high weight of the pregnant are the risk factors of GDM.