1676例孕妇妊娠期糖尿病筛查结果分析  

Analysis for gestational diabetes screening of 1 676 pregnant women

作　　者：刘迎军[1] 王俊臣[1] 杜明贞[1] 蒙长虹[1] 

机构地区：[1]河北省唐山市妇幼保健院围产期保健门诊,063000

出　　处：《中国妇幼保健》2011年第19期2920-2921,共2页Maternal and Child Health Care of China

摘　　要：目的：分析孕妇妊娠期糖尿病的发病情况及其影响因素。方法：回顾性分析2009年1~12月唐山市妇幼保健院接受糖尿病筛查的1 676例孕妇的临床资料,分别按年龄、体重指数（BM I）及筛查孕周分组,比较各组的葡萄糖负荷试验（GCT）异常率、妊娠期糖耐量异常（IGT）和妊娠期糖尿病（GDM）的发生率。结果：35岁以上孕妇的GCT异常率、IGT和GDM的发生率均显著高于其他年龄组;肥胖组的IGT和GDM发生率明显高于非肥胖组;随着筛查孕周的增加,IGT和GDM的检出率也明显增加。结论：GDM的筛查是必要的,对伴有高危因素的孕妇应严格管理,以减少母婴合并症的发生。Objective：To analyze the incidence of diabetes in pregnant women and its influencing factors and to explore the impact on maternal..Methods：The clinical information collected in this hospital outpatient about diabetes screening of pregnant women during January to December in 2009 were retrospectively analyzed.1 676 pregnant women were divided by age,body mass index（BMI） and screening gestational week respectively.Glucose challenge test（GCT） abnormal rate,gestational impaired glucose tolerance（IGT） incidence and gestational diabetes mellitus（GDM） incidence of different groups were compared.Results：GCT abnormal rate,IGT and GDM incidences of pregnant women over 35 years old were significantly higher than those of other age groups;IGT and GDM incidences of obese group were significantly higher than those of non-obese group;With the increase of screening gestational week,IGT and GDM detection rates also increased significantly.Conclusion：GDM screening is necessary.Pregnant women with risk factors should be managed strictly for reducing the occurrence of infant and maternal complications.

关 键 词：妊娠期糖尿病 糖筛查 高危因素 

分 类 号：R714.147[医药卫生—妇产科学]