【摘要】：目的探討妊娠期糖尿病發(fā)病的高危因素。方法 2013年9月17日至2014年3月3日在北京友誼醫(yī)院行產(chǎn)前保健、完成75 g口服葡萄糖耐量試驗(yàn),并順利完成分娩的孕婦共820例,其中診斷為妊娠期糖尿病167例(GDM組),同期正常孕婦653例(非GDM組)。收集兩組孕婦的臨床資料進(jìn)行單因素和多因素Logistic回歸分析。結(jié)果 1對(duì)GDM發(fā)病有統(tǒng)計(jì)學(xué)意義的危險(xiǎn)因素有孕婦年齡(OR=1.308,95CI%:1.001~1.710),早孕期空腹血糖水平(OR=4.165,95CI%:2.515~6.895),孕早期體質(zhì)量指數(shù)(OR=2.259,95CI%:1.559~3.273),中孕期體質(zhì)指數(shù)增長(zhǎng)(OR=1.370,95CI%:1.050~1.788);2校正其他高危因素的混雜作用,早孕期空腹血糖4.4 mmol/L、4.4~5.1 mmol/L、5.1 mmol/L發(fā)生GDM的概率分別為11.1%、24.9%、42.9%。早孕期體質(zhì)量指數(shù)23.5組和≥23.5組發(fā)生GDM的概率分別為15.2%,31.5%,將孕婦年齡分組(29歲、29~34歲,≥35歲)后發(fā)生GDM的概率為16.0%,22.0%,31.0%。結(jié)論孕婦年齡、早孕期空腹血糖、孕早期體質(zhì)量指數(shù)、中孕期體質(zhì)量指數(shù)增長(zhǎng)≥2.2 kg/m2為GDM發(fā)病的獨(dú)立危險(xiǎn)因素。
[Abstract]:Objective to investigate the high risk factors of gestational diabetes mellitus (GDM). Methods from September 17, 2013 to March 3, 2014, 820 pregnant women with 75 g oral glucose tolerance test were completed in Beijing Friendship Hospital, including 167 cases of gestational diabetes mellitus (GDM group) and 653 cases of normal pregnant women (non-GDM group). The clinical data of the two groups of pregnant women were collected for univariate and multivariate Logistic regression analysis. Results 1 the risk factors for the incidence of GDM were age of pregnant women (OR=1.308,95CI%:1.001~1.710), fasting blood glucose level (OR=4.165,95CI%:2.515~6.895), body mass index (OR=2.259,95CI%:1.559~3.273) and body mass index (OR=1.370,95CI%:1.050~1.788) during early pregnancy. (2) to correct the mixed effect of other high risk factors, the probability of GDM in fasting blood glucose 4.4 mmol/L,4.4~5.1 mmol/L,5.1 mmol/L during early pregnancy was 11.1%, 24.9% and 42.9%, respectively. The probability of GDM in 23.5 group and 鈮，

本文編號(hào)：2519961