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目的调查新诊断标准下张家港地区妊娠期糖尿病(GDM)发病率及高危因素。方法采用调查问卷的方法,对2014年4月-11月在张家港地区建卡并按规定进行围产保健的2 795例孕妇发放调查问卷进行调查。选出符合GDM诊断标准的孕妇作为观察组,非GDM孕妇为对照组。采用SPSS 16.0统计软件分析结果。结果 1新诊断标准下张家港地区GDM发病率为19.57%。2单因素情况比较结果显示:多囊卵巢综合征(PCOS)病史、孕前体重指数(BMI)、妊娠年龄、糖尿病家族史、孕次≥3次、流产≥3次、巨大儿史、剖宫产史、既往GDM病史、早孕建卡时空腹血糖及建卡时舒张压≥80 mm Hg是新诊断标准下GDM的独立危险因素。3多因素Logistic回归结果显示:妊娠年龄、糖尿病家族史、孕次≥3次、既往GDM病史、早孕建卡时空腹血糖及建卡时舒张压≥80 mm Hg是新诊断标准下GDM的独立危险因素。结论新诊断标准下张家港地区GDM发生率较高。孕时年龄、孕前体重指数、孕期血压、糖尿病家族史、曾患GDM病史、孕早期空腹血糖及孕次是GDM的高危因素。
Objective To investigate the incidence and risk factors of gestational diabetes mellitus (GDM) in Zhangjiagang under the new diagnostic criteria. Methods A questionnaire was used to survey 2,795 pregnant women who set up their cards in Zhangjiagang from April to November 2014 and conducted perinatal health care according to the regulations. Pregnant women who meet the diagnostic criteria of GDM were selected as observation group and non GDM pregnant women as control group. Using SPSS 16.0 statistical software to analyze the results. The results of a new diagnostic criteria under the Zhangjiagang GDM incidence was 19.57%. The results of single factor comparison showed that PCOS history, BMI, gestational age, family history of diabetes, 3 times of pregnancy, 3 times of miscarriage, huge child history, cesarean section History, previous history of GDM, fasting blood glucose during cardiopulmonary resuscitation and diastolic blood pressure of 80 mm Hg during cardiomyopathy were independent risk factors for GDM under the new diagnostic criteria. 3 Multivariate logistic regression analysis showed that the gestational age, family history of diabetes, gestational age≥3 times, previous history of GDM, fasting blood glucose during card-building in early pregnancy, and diastolic blood pressure ≥80 mm Hg were the independent risk of GDM under the new diagnostic criteria factor. Conclusion The incidence of GDM in Zhangjiagang is higher under the new diagnostic criteria. Prenatal age, body mass index before pregnancy, blood pressure during pregnancy, family history of diabetes, history of previous GDM, fasting blood glucose and gestational age in early pregnancy are risk factors for GDM.