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目的了解佛山市高明区妊娠期糖尿病(GDM)的发生率及影响因素。方法选取2014年5月-2016年3月在该院接受常规产前检查的孕妇2 078例作为研究对象,所有研究对象在孕24~28周时接受了妊娠期糖尿病筛查和研究所需的问卷调查,分析高明区GDM的发生率以及该地区妊娠期妇女发生GMD的危险因素。结果 2 078例研究对象中GMD发生率为5.29%(110例),糖耐量受损(GIGT)发生率为10.54%(219例),无糖代谢异常者1 749例(84.17%)。以110例妊娠期糖尿病患者和1 749例无糖代谢异常者作为研究对象分析妊娠期糖尿病的高危因素,结果显示:年龄≥35岁(OR=5.107,95CI%3.257~8.103),BMI≥25 kg/m~2(OR=4.825,95CI%3.054~8.906),糖尿病家族史(OR=4.778,95CI%3.315~7.621),喜吃甜食(OR=2.119,95CI%1.528~4.084)是研究对象发生妊娠期糖尿病的危险因素。结论高明区GDM的发生率为5.29%,其年龄、BMI、糖尿病家族史、喜吃甜食与GDM的发生密切相关。
Objective To understand the incidence and influencing factors of gestational diabetes mellitus (GDM) in Gaoming District of Foshan City. Methods A total of 2 078 pregnant women underwent routine prenatal care from May 2014 to March 2016 in our hospital were enrolled in this study. All subjects were enrolled in this study. Pregnant women undergoing 24-to-28 weeks gestation screening and study required Questionnaire survey to analyze the incidence of GDM in Gaoming district and the risk factors of GMD in gestational women in this area. Results The incidence of GMD in 2 078 subjects was 5.29% (110 cases), impaired glucose tolerance (GIGT) was 10.54% (219 cases), and 1 749 cases (84.17%) had no abnormal glucose metabolism. 110 cases of gestational diabetes mellitus and 1 749 cases of non-glucose metabolism were analyzed as risk factors of gestational diabetes mellitus, the results showed that: age ≥35 years (OR = 5.107,95CI% 3.257 ~ 8.103), BMI ≥25 kg Family history of diabetes (OR = 4.778,95 CI% 3.315 ~ 7.621), like to eat sweets (OR = 2.119,95CI% 1.528 ~ 4.084) is the study of pregnancy Risk factors for stage diabetes. Conclusions The incidence of GDM in Gaoming district is 5.29%, and its age, BMI, family history of diabetes and sweet food are closely related to the occurrence of GDM.