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目的对妊娠合并糖尿病疾病发生的相关危险因素展开分析。方法妊娠合并糖尿病患者46例作观察组,选取同期体检正常孕妇44例作对照组,对比两组孕妇临床资料,并利用Logistic回归分析法展开危险因素分析。结果观察组年龄、血压及空腹血糖均显著高于对照组,孕前BMI、产前BMI显著大于对照组,不良孕产史比例显著高于对照组。经Logistic分析,年龄、既往不良孕产史、孕前BMI、分娩前BMI增长率是GDM发生的独立危险因素。结论在临床中应高度重视高龄、有既往不良孕产史、孕前BMI与分娩前BMI增长率高等妊娠合并糖尿病独立危险因素,当发现有这些因素存在时尽早诊断,在此基础上积极展开早期治疗。
Objective To analyze the related risk factors of pregnancy complicated with diabetes. Methods Forty - six patients with gestational diabetes mellitus were selected as observation group. Forty - four normal pregnant women were selected as the control group. The clinical data of two groups of pregnant women were compared. Logistic regression analysis was used to analyze the risk factors. Results The age, blood pressure and fasting blood glucose in the observation group were significantly higher than those in the control group. The pre-pregnancy BMI and prenatal BMI were significantly higher than those in the control group, and the proportion of poor pregnancy and childbirth was significantly higher than that of the control group. Logistic analysis, age, previous history of adverse pregnancy, pre-pregnancy BMI, BMI before delivery was an independent risk factor for GDM. Conclusions In the clinic, we should attach great importance to the elderly, have a history of poor past maternal history, pre-pregnancy BMI and higher BMI growth rate before delivery, independent risk factors for pregnancy complicated with diabetes, early detection of these factors exist, on the basis of active early treatment .