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目的通过对天津市东丽区2012-2016年首诊报告的妊娠糖尿病(GDM)的发病数据进行分析,研究其在人群中的分布及发病趋势。方法根据东丽区公安分局户籍科提供的人口统计年报表对东丽区女性GDM发病情况进行统计和分析。对近5年的GDM首诊报告病例,经专业人员核实,录入到天津市非传染病发病监测管理系统2016专用软件(数据管理软件为Access 2003),经整理后对其发病数、发病年龄、职业等情况进行统计分析,得出报告发病率。结果东丽区2012-2016年5年GDM的平均发病率为140.78/10万,2012-2016年分别为86.81/10万、131.66/10万、148.17/10万、200.19/10万、153.69/10万。以20~35岁年龄段居多,最小15岁发病,最大45岁发病。发病数量占女性糖尿病的近一半比例,主要分布在7个行业,其中无业和待业发病数量最多。结论对妊娠期妇女开展健康教育宣传及筛查工作,对GDM孕妇进行规范化的管理,降低GDM的发病率,保证母亲和胎儿的安全。
Objective To analyze the distribution and trend of gestational diabetes mellitus (GDM) in the first report from 2012 to 2016 in Dongli District, Tianjin. Methods Based on the demographic report provided by the Household Registration Section of Dongli District Public Security Bureau, the incidence of female GDM in Dongli District was statistically analyzed. For the first 5 years of GDM cases, verified by professionals, they were entered into Tianjin 2016 non-communicable disease morbidity monitoring and management system (Access 2003). After sorting, the number of cases, age of onset, Occupation and other statistical analysis, the report incidence. Results The average incidence of GDM in Dongli District during the five years from 2012 to 2016 was 140.78 / 100000, with 86.81 / 100000, 131.66 / 100000, 148.17 / 100000, 200.19 / 100000, 153.69 / 10 Million Mostly aged 20 to 35 years old, the youngest 15-year-old onset, the largest 45-year-old disease. The incidence of diabetes accounted for nearly half the proportion of women, mainly in seven industries, of which the largest number of unemployed and unemployed. Conclusion The health education propaganda and screening work for pregnant women, standardized management of GDM pregnant women, reduce the incidence of GDM, to ensure the safety of mothers and fetuses.