2005年至2009年重庆市区妊娠糖尿病发病率趋势回顾性调查及相关因素比较  

A study on trends of the incidence of gestationai diabetes mellitus and its relevant factors in Chongqing city from2005 to 2009

作　　者：张楠[1] 陈宇[1] 刘东方[1] 李蓉[2] 雷玲 周厚地 龙敏[1] 李荣[1] 王波[1] 程伟[1] 

机构地区：[1]重庆医科大学附属第二医院内分泌科,400010 [2]重庆医科大学附属第一医院内分泌科 [3]重庆妇幼保健医院产科 [4]重庆新桥医院内分泌科

出　　处：《中华内分泌代谢杂志》2011年第5期404-407,共4页Chinese Journal of Endocrinology and Metabolism

摘　　要：利用病例查询系统及新生儿出生登记簿得到2005年至2009年在重庆医科大学第一、第二附属医院、重庆新桥医院及重庆妇幼保健医院住院分娩总数及妊娠糖尿病（GDM）患者人数。并对其中540例GDM孕妇资料进行分析。结果显示2005年至2009年重庆市区GDM发病率呈上升趋势（2．29％～3．81％，P〈0．05），确诊时间从孕31．2周提前至孕28．0周（P〈0．05），确诊GDM时的体重指数由25．6kg／m2逐步增长到28．1kg／m2，但无统计学意义。2005年至2009年GDM孕妇的平均年龄、高龄产妇的构成比、孕产史及糖尿病家族史均无明显变化（P〉0．05）。By using the Medical Case Inquiry System and registries of infant＇s birth, the number of women with gestational diabetes mellitus（GDM） and the total number of women delivering in the First and Second Affiliated Hospital of Cbongqing Medical University, Chongqing Xinqiao Hospital, and Chongqing Health Center For Women and Children from 2005 to 2009 were obtained. The data of 540 pregnant women with ODM were further analyzed. From 2005 to 2009, the incidence of GDM increased from 2.29% to 3.81% （ P〈0.05 ）. The diagnosis of GDM was made earlier by 2g. 0 weeks in 2009 compared with 31.2 weeks in 2005 （ P〈0.05 ）. Body mass index during GDM diagnosis manifested a growing trend（ 25.6-28.1 kg/m2 ） ,but no significance（ P〉0.05 ）. From 2005 to 2009, the other related factors, including the average maternal age, the constituent ratio of women with advanced maternal age, pregnancy history, delivery history, and family history of diabetes showed insignificant changes （P〉0.05）.

关 键 词：妊娠期糖尿病 发病率 孕周 体重指数 

分 类 号：R714.2[医药卫生—妇产科学]