妊娠早期睡眠质量与妊娠期糖尿病关系的探讨  

Relationship between sleep quality in early pregnancy and gestational diabetes

作　　者：张琰[1] 王晓彩[1] 孙晓[1] ZHANG Yan;WANG Xiaocai;SUN Xiao(Department of Obstetrics,Shenyang Maternity and Infant Hospital,Shenyang 110011,China)

机构地区：[1]沈阳市妇婴医院产科,辽宁沈阳110011

出　　处：《中国现代医生》2019年第10期62-65,共4页China Modern Doctor

基　　金：辽宁省自然科学基金指导计划项目(20170540834)

摘　　要：目的通过调查孕妇孕早期睡眠状况,探讨其对妊娠期糖尿病的影响。方法选取沈阳市妇婴医院产科门诊657例孕早期妇女为研究对象,通过问卷调查收集孕妇基本信息、孕早期睡眠时间并了解睡眠质量情况。24～28孕周进行糖耐量筛查试验筛选出GDM孕妇。采用多因素非条件Logistics回归方法分析孕早期睡眠状况对妊娠期糖尿病发生率的影响。结果 112例孕妇诊断为妊娠期糖尿病,孕早期有92例孕妇提示睡眠质量异常,睡眠障碍可以导致妊娠期糖尿病风险增加(OR=1.031,95%CI=1.027～1.115)。年龄、孕前BMI、孕早期睡眠质量及怀孕分娩次数均为妊娠期糖尿病发病的高危因素。结论孕早期睡眠质量差是妊娠期糖尿病发病的高危因素,孕早期对睡眠异常进行治疗可以减少妊娠期糖尿病的发病。Objective To explore the impact of sleep quality in early pregnancy on gestational diabetes.Methods A total of 657 pregnant women in the obstetrics clinic of our hospital were selected as the research subjects.The basic information of pregnant women,sleep time and sleep quality in early period of pregnancy were collected through questionnaires.Glucose tolerance screening tests were performed at 24-28 gestational weeks to screen out GDM pregnant women.Multivariate unconditional logistic regression analysis was used to analyze the effect of sleep status in early pregnancy on the incidence of gestational diabetes.Results 112 pregnant women were diagnosed with gestational diabetes,and 92 women in early pregnancy were indicated of abnormal sleep quality.Sleep disorders might lead to an increased risk of gestational diabetes(OR=1.031,95%CI=1.027-1.115).Age,pre-pregnancy BMI,early pregnancy sleep quality and number of pregnancy and delivery were risk factors for gestational diabetes.Conclusion Poor sleep quality in early pregnancy is a high risk factor for gestational diabetes.Treatment of abnormal sleep during early pregnancy can reduce the incidence of gestational diabetes.

关 键 词：睡眠质量 妊娠期糖尿病 妊娠 早期 

分 类 号：R714.256[医药卫生—妇产科学]