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目的探讨妊娠期糖尿病(GDM)与孕妇各年龄组的关系。方法对在我院分娩的12205例孕妇,按年龄分甲组(25岁以下)、乙组(25-29岁)、丙组(30-34岁)、丁组(35岁及以上),行75g葡萄糖耐药量试验(OGTT),确诊为GDM病例219例,分析各组GDM的发者生率。结果GDM发病率为1.79%,其中甲组0.84%、乙组1.7%、丙组2.0%、丁组4.3%。结论GDM发生率随孕妇年龄的增加而明显增加。建议25岁以下孕妇无任何糖尿病高危因素存在时,可不行孕期糖尿病筛查,25岁以上的孕妇应作常规GDM筛查,而35岁以上孕妇需在整个妊娠期定期检查空腹及餐后血糖,以及早发现和治疗糖尿病。
Objective To investigate the relationship between gestational diabetes mellitus (GDM) and pregnant women of all ages. Methods A total of 12,205 pregnant women delivered in our hospital were divided into groups A (25 years old), B (25-29 years old), C (30-34 years old), D group (35 years old and above) 75g glucose tolerance test (OGTT), diagnosed 219 cases of GDM cases, analyze the incidence of GDM in each group. Results The incidence of GDM was 1.79%, of which, A group was 0.84%, B group was 1.7%, C group was 2.0% and D group was 4.3%. Conclusion The incidence of GDM increased significantly with the increase of pregnant women’s age. Proposed 25-year-old pregnant women without any risk factors for diabetes, diabetes screening can not do during pregnancy, pregnant women over the age of 25 should be routine GDM screening, and pregnant women over the age of 35 need regular inspection throughout the pregnancy fasting and postprandial blood glucose, And early detection and treatment of diabetes.