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目的分析妊娠期糖尿病孕妇的危险因素,为预防妊娠期糖尿病提供依据。方法选取本院2011年12月至2013年12月我院收治的80例妊娠期糖尿病孕妇作为病例组,同时随机选取同期我院健康孕妇80例作为对照组,采用logistic回归分析妊娠期糖尿病发生的危险因素。结果病例组患者年龄(29.3±3.9)岁,空腹血糖(7.13±2.01)mmol/L,餐后2 h血糖(13.28±2.56)mmol/L,收缩压(144.27±9.56)mmHg,舒张压(98.33±9.86)mmHg,均明显高于对照组[分别为(26.3±5.2)岁、(5.45±1.45)mmol/L、(6.23±3.34)mmol/L、(115.87±8.97)mmHg、(76.72±8.26)mmHg],差异均有统计学意义(P<0.05),病例组患者孕前体质指数和分娩前体质指数分别为(23.07±2.90)、(31.24±6.34)kg/m2,明显高于对照组[分别为(19.32±4.39)、(26.27±4.55)kg/m2],差异均有统计学意义(P<0.05),病例组不良孕产史率(58.75%)明显高于对照组(15.00%),差异有统计学意义(P<0.05),但两组身高和受教育程度差异无统计学意义(P>0.05),经logistic回归分析,孕妇的年龄≥35岁、分娩前体质指数≥25 kg/m2、不良孕产史是妊娠期糖尿病的危险因素(P<0.05),孕妇的血压、血糖不是妊娠期糖尿病的危险因素(P>0.05)。结论应针对妊娠期糖尿病发生的危险因素进行预防,做到早发现、早预防及早治疗,有效改善妊娠结局。
Objective To analyze the risk factors of pregnant women with gestational diabetes mellitus and provide the basis for prevention of gestational diabetes mellitus. Methods Eighty pregnant women with gestational diabetes mellitus admitted to our hospital from December 2011 to December 2013 were selected as the case group and 80 healthy pregnant women in our hospital were randomly selected as the control group at the same time. Logistic regression was used to analyze the incidence of gestational diabetes mellitus Risk factors. Results The average age of the patients in the case group was 29.3 ± 3.9 years, fasting blood glucose (7.13 ± 2.01) mmol / L, postprandial blood glucose 2h (13.28 ± 2.56) mmol / L, systolic pressure (144.27 ± 9.56) mmHg, ± 9.86) mmHg were significantly higher than those in the control group [(26.3 ± 5.2) years, (5.45 ± 1.45) mmol / L, (6.23 ± 3.34) mmol / L, (115.87 ± 8.97) mmHg, (76.72 ± 8.26 ) mmHg], the difference was statistically significant (P <0.05). The body mass index before pregnancy and body mass index before delivery were (23.07 ± 2.90) and (31.24 ± 6.34) kg / m2 respectively in the case group and were significantly higher than those in the control group [ (19.32 ± 4.39) and (26.27 ± 4.55) kg / m2, respectively, the difference was statistically significant (P <0.05). The rate of adverse pregnancy and childbirth in the case group was significantly higher than that in the control group (58.00% vs 15.00% (P <0.05). However, there was no significant difference in height and educational level between the two groups (P> 0.05). According to the logistic regression analysis, the pregnant women were ≥35 years old and the body mass index before delivery ≥25 kg / m2. The history of adverse pregnancy was the risk factor of gestational diabetes mellitus (P <0.05). The blood pressure and blood glucose of pregnant women were not the risk factors of gestational diabetes mellitus (P> 0.05). Conclusions The risk factors of gestational diabetes mellitus should be prevented. Early detection, early prevention and early treatment should be done to effectively improve pregnancy outcomes.