妊娠期糖尿病在全面放开二胎后的影响因素分析  

Analysis of influencing factors of gestational diabetes mellitus after Two-child Policy

作　　者：彭铎 雷四英[1] 吴伟平[1] PENG Duo;LEI Si - ying;WU Wei - ping(Lishui People＇s Hospital, Lishui, Zhejiang 323000, Chin)

机构地区：[1]丽水市人民医院,浙江丽水323000

出　　处：《中国卫生检验杂志》2018年第13期1617-1619,共3页Chinese Journal of Health Laboratory Technology

摘　　要：目的分析妊娠期糖尿病在全面实施二胎政策后的患病情况及影响因素。方法选取2016年7月-2017年7月,在丽水市人民医院进行妊娠期糖尿病筛查的891例孕妇作为研究对象,并对其进行了统一内容的问卷调查。采用Logistic回归来评估妊娠期糖尿病与各因素的OR和95%CI。结果 891例孕妇中,有142例被诊断为妊娠期糖尿病,发生率为15.9%。校正混杂因素后发现,二胎是妊娠期糖尿病的危险因素(OR:1.392,95%CI:1.234~1.657,P<0.05),较低的教育水平与妊娠期糖尿病的发生呈正相关(OR:1.507,95%CI:1.320~1.805,P<0.05)。非市辖区的妊娠期糖尿病的发生率比市辖区高(OR:1.628,95%CI:1.052~2.521,P<0.05)。结论本研究结果表明,除了年龄、孕前体质量指数和糖尿病家族史这些危险因素外,二胎、文化教育程度和区域因素也是妊娠期糖尿病的危险因素。Objective To analyze the prevalence and the influencing factors of gestational diabetes mellitus after comprehensive implementation of the Two-child Policy. Methods 891 pregnant women for gestational diabetes mellitus screening in Lishui People＇s Hospital were selected as the research objects and surveyed by questionnaires from July 2016 to July 2017. Logistic regression was used to evaluate the OR and 95% CI of gestational diabetes mellitus with the influencing factors. Results In all cases,142 cases were diagnosed with gestational diabetes and the incidence rate was 15. 9%. Second pregnancy and the lower education level were positively correlated with gestational diabetes mellitus（ OR： 1. 392,95% CI： 1. 234-1. 657,P〈0. 05;and OR： 1. 507,95% CI： 1. 320-1. 805,P〈0. 05）. The incidence of gestational diabetes mellitus in non-municipal districts was higher than that in municipal districts（ OR： 1. 628,95% CI： 1. 052-2. 521,P〈0. 05）. Conclusion In addition to age,pre-pregnancy body mass index and family history of diabetes,second pregnancy,educational level and regional factors are also risk factors for gestational diabetes mellitus.

关 键 词：妊娠期糖尿病 二胎政策 危险因素 

分 类 号：R714.256[医药卫生—妇产科学]