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目的对妊娠期糖尿病发病相关危险因素进行探讨。方法回顾性分析2012年1月至2013年12月在郑州大学第一附属医院进行产前检查并住院分娩的2517例孕妇的临床资料,对确诊为GDM的217例孕妇的年龄、糖尿病家族史、孕前体质量指数(BMI)、孕期体重增长过多、PCOS、妊娠高血压疾病采用多因素回归的方式进行数据分析,研究这些因素与妊娠期糖尿病的相关性。结果进入多因素回归分析的因素:年龄、糖尿病家族史、孕前体质量指数、孕期体重增长过多、妊娠高血压疾病。结论年龄(≥35岁)、孕前体质量指数、糖尿病家族史、孕期体重增长过多、PCOS、妊娠高血压疾病均为妊娠期糖尿病的危险因素,具有统计学意义。
Objective To explore the risk factors related to the incidence of gestational diabetes mellitus. Methods The clinical data of 2517 pregnant women with antenatal examination at the First Affiliated Hospital of Zhengzhou University from January 2012 to December 2013 were analyzed retrospectively. The age, diabetes family history, Pre-pregnancy body mass index (BMI), excess weight during pregnancy, PCOS, pregnancy-induced hypertension disease using multivariate regression analysis of data to study these factors and gestational diabetes mellitus. Results The factors that entered the multivariate regression analysis were age, family history of diabetes, body mass index of pregnancy, weight gain during pregnancy and pregnancy-induced hypertension. Conclusion Age (≥35 years), body weight index before pregnancy, family history of diabetes, weight gain during pregnancy, PCOS and pregnancy-induced hypertension are all risk factors of gestational diabetes mellitus, with statistical significance.