【摘要】：目的調查生活在昆明地區(qū)不同少數(shù)民族妊娠期糖尿病(GDM)的發(fā)生率。方法對2004年1月至2013年12月10年期間在昆明3所醫(yī)院接受75g口服葡萄糖耐量試驗(OGTT)的18 195例單胎4個民族(包括漢族、回族、白族、彝族)孕婦進行前瞻性研究。采用1999年WHO制定的GDM診斷標準,比較不同民族組間GDM發(fā)生率。結果該地區(qū)研究期間GDM的總體發(fā)生率為12.4%。GDM發(fā)生率相比,回族顯著高于漢族(17.5%vs.12.5%,P=0.026),而彝族顯著低于漢族(6.4%vs.12.5%,P=0.003),白族發(fā)生率有升高的趨勢(15.8%vs.12.5%,P=0.061)。Logistic回歸顯示,母親年齡(OR=1.12,95%CI:1.10~1.14)、孕前BMI(OR=1.12,95%CI:1.06~1.17),OGTT時BMI(OR=1.45,95%CI:1.36~1.54)、一級親屬DM家族史(OR=1.96,95%CI:1.45~2.64)、白族(OR=1.63,95%CI:1.11~2.41)為GDM發(fā)生的獨立危險因素。結論同一生活背景時不同民族間GDM的發(fā)生率存在差異,提示GDM的篩查中民族背景可以作為高危因素考慮。
[Abstract]:Objective to investigate the incidence of gestational diabetes mellitus (GDM) in different ethnic minorities living in Kunming. Methods from January 2004 to December 2013, 18 195 pregnant women from 4 nationalities (including Han, Hui, Bai and Yi) who underwent 75g oral glucose tolerance test (OGTT) in three hospitals in Kunming were studied prospectively. The GDM diagnostic criteria established by WHO in 1999 were used to compare the incidence of GDM among different ethnic groups. Results the overall incidence of GDM in Hui nationality was significantly higher than that in Han nationality (17.5% vs. 12.5%, P 鈮，

本文編號：2501942