[1]杨晓清*,罗丽,高玉华,等.广元地区妊娠期糖尿病发病情况及影响因素分析[J].中国计划生育和妇产科,2016,(6):21-24.
 YANG Xiao-qing*,LUO Li,GAO Yu-hua,et al.Analysis of the incidence and influencing factors of gestational diabetes mellitus in Guangyuan area[J].Chinese Journal of Family Planning & Gynecotokology,2016,(6):21-24.
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广元地区妊娠期糖尿病发病情况及影响因素分析
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《中国计划生育和妇产科》[ISSN:1674-4020/CN:51-1708/R]

卷:
期数:
2016年6期
页码:
21-24
栏目:
论著与临床
出版日期:
2016-06-25

文章信息/Info

Title:
Analysis of the incidence and influencing factors of gestational diabetes mellitus in Guangyuan area
作者:
杨晓清1*罗丽2高玉华1张伟3孙武4高光玲1牛琼华5
广元市妇幼保健院,1. 产二科;2. 科教科;3.医院办公室;4.儿科;5.护理部
Author(s):
YANG Xiao-qing1*LUO Li2GAO Yu-hua1ZHANG Wei3SUN Wu4GAO Guang-ling1NIU Qiong-hua5
.2nd department of obstetrical; 2. Department of science and education; 3. Hospital office; 4. Department of paediatrics; 5. Department of nurse, Hospital of maternal and children health care in Guangyuan, Guangyuan Sichuan 628000,P.R.China
关键词:
妊娠期糖尿病广元地区发病率影响因素
Keywords:
gestational diabetes mellitus (GDM) Guangyuan area incidence rate influence factors
分类号:
R 714256
摘要:
目的探讨广元地区妊娠期糖尿病(gestational diabetes mellitus ,GDM)发病情况及影响因素,为该地区育龄妇女GDM防治提供参考依据。方法将广元地区2012~2013年住院分娩的产妇作为研究对象,抽取全市分娩数最多的前5家医院作为临床资料样本收集单位,使用调查表收集孕妇年龄、身高、体重、文化程度、收入状况、饮食习惯、既往史、家族史、分娩孕周、体重增长等情况,分别采用单因素和Logistic回归分析对调查数据进行分析。结果10 973例孕妇中有201例GDM孕妇,GDM发病率为183 %;单因素分析显示年龄、文化程度、家庭月总收入、体质量指数(Body Mass Index,BMI)、糖尿病家族史、饮食习惯、异常孕产史、血型、孕期增重等是GDM发病的影响因素(P<005);居住地、既往史、孕前及孕期服用叶酸情况、孕产次与GDM发病无关(P>005);Logistic多因素分析显示:年龄、BMI、糖尿病家族史、异常孕产史、饮食习惯、血型、孕期增重是GDM发病的独立危险因素(P<005)。结论广元地区GDM发病率与年龄、孕前BMI、家族史、异常孕产史、饮食习惯、血型、孕期增重等有密切关系。
Abstract:
ObjectiveTo investigate the incidence and influencing factors of gestational diabetes mellitus (GDM) in Guangyuan area, and to provide reference frame for the prevention and treatment of GDM. MethodsWomen who hospitalized in Guangyuan city from January 2012 to December 2013 were selected as the research object, and clinical data samples were selected from top 5 hospitals in delivery numbers. The questionnaire was used to collect the age, height, weight, education level, income, diet habit, past history, family history, gestational weeks, weight gain, and so on. The data were analyzed by single factor and Logistic regression analysis.Results10 973 pregnant women was investigated and 201 cases had DGM, the incidence of DGM was 1.83 %;Univariate analysis showed that age, education, family monthly income, pre pregnancy body mass index (BMI), family history, diet habit, history of abnormal pregnancy, blood type, weight gain during pregnancy were influencing factors of incidence of GDM (P<005); residence, past history, folic acid taken pre pregnancy and during pregnancy, gravidity and parity history had no correlation with the incidence of GDM (P>005);Logistic multivariate analysis showed that age, BMI, family history, history of abnormal pregnancy, diet habits, blood type, weight gain during pregnancy were independent risk factors of GDM (P<005). ConclusionAge, BMI pre pregnancy, family history, history of abnormal pregnancy, diet habits, blood type, weight gain during pregnancy are closely connected with the incidence of GDM in Guangyuan area.

参考文献/References:

[1]李宝娟.妊娠期糖尿病危险因素的研究进展[J].国际妇产科学杂志, 2013, 40 (6): 504-506. [2]罗大江.妊娠期糖尿病相关危险因素对产后发生糖尿病的预测作用[J].实用医学杂志, 2014, 28 (4): 604-606. [3]何新梅,余庆芳,严芳霞.妊娠期糖尿病相关因素的临床对照研究[J].浙江预防医学, 2014, 26 (2): 184-185, 208. [4]俞巧稚,张文颖.妊娠期糖尿病发病相关因素的研究进展[J].中国妇产科临床杂志, 2015, 15 (2): 187-190. [5]魏玉梅,杨慧霞,高雪莲.全国部分城市妊娠期糖尿病发病情况的调查及适宜诊断标准的探讨[J].中华妇产科杂志, 2008, 43 (9): 647-650. [6]刘伟.妊娠期糖尿病发病相关因素的研究进展[J].现代妇产科进展, 2014, 23 (4): 308-310. [7]王爽,杨慧霞.妊娠期糖尿病发病的危险因素分析[J].中华妇产科杂志, 2014, 49 (5): 321-324. [8]贾波.沈阳城区妊娠期糖尿病妇女常见患病危险因素分析[J].中国实用医药, 2013, 8 (30): 261-262. [9]戚慧,江华,范燕燕,等.妊娠期糖尿病的危险因素研究[J].中国全科医学, 2014, 17 (8): 895-898. [10]王鹤,纪红梅,李佳.51例妊娠期糖尿病危险因素分析[J].医学临床研究, 2014, 31 (2): 260-261, 265. [11]赵岩红.妊娠合并糖尿病妊娠期危险因素分析[J].中国临床医生, 2014, 43 (8): 70-71. [12]徐影.妊娠期糖尿病筛检及危险因素的研究[J].中国妇幼保健, 2014, 29 (5): 706-707. [13]马春燕,朱玲,宋喜贵,等.Ⅱ型糖尿病与ABO血型关系的探讨[J].宁夏医学杂志, 1998, 20 (5): 19-20. [14]陈少华,陈爱国,冯福英,等.ABO血型与高血压、糖尿病及哮喘的相关性探讨[J].中国优生与遗传杂志, 2003, 11 (6): 139, 98.

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备注/Memo

备注/Memo:
广元市2014年科技计划项目(14KJZCZC036)
更新日期/Last Update: 1900-01-01