某三甲医院2020年孕妇妊娠期糖尿病的发病情况及危险因素分析  

Incidence and risk factors of gestational diabetes mellitus in pregnant women in a first class hospital in 2020

作　　者：郭明霞[1] 郭文姣[2] Guo Mingxia;Guo Wenjiao(Department of Medical Records,Zhengzhou People’s Hospital,Zhengzhou 450000,China;Documentation and Information Center of Chinese Academy of Sciences,Beijing 100000,China)

机构地区：[1]郑州人民医院病案科,郑州450000 [2]中国科学院文献情报中心,北京100000

出　　处：《中国实用医刊》2022年第6期30-34,共5页Chinese Journal of Practical Medicine

摘　　要：目的分析郑州人民医院2020年孕妇妊娠期糖尿病(GDM)的发病情况及危险因素。方法抽取2020年1月至2020年12郑州人民医院月收治的3 343例孕妇作为研究对象,依据2010年国际妊娠糖尿病研究协会GDM诊断标准统计GDM患者例数,采用自行设计的调查表收集相关临床资料并进行分析,应用多因素Logistic回归分析GDM危险因素。结果 3 343例孕妇中GDM 603例,GDM发病率为18.04%。孕妇不同的年龄、孕前体质指数(BMI)、孕次和产次、流产次数、宫外孕史、被动吸烟、高能量摄食、饮食不规律和睡眠质量,GDM患病率差异有统计学意义(P<0.05)。多因素Logistic回归分析结果显示,年龄≥35岁(OR= 2.702,95%CI 1.646~4.437)、孕前BMI≥25 kg/m2(OR=3.618,95%CI 1.108~11.821)、孕次≥3次(OR=2.450,95%CI 1.636~3.668)、产次≥3次(OR=1.919,95%CI 1.442~2.555)、流产≥2次(OR=3.089,95%CI 1.362~7.010)、高能量摄食(OR=6.080,95%CI 1.077~34.318)及饮食不规律(OR=4.179,95%CI 1.244~14.031)是GDM的危险因素(P<0.05)。结论 2020年郑州人民医院孕妇GDM患病率较高,针对高龄、孕前BMI高、孕次产次流产次数多、高能量摄食及饮食不规律者的孕妇,应该加强早期GDM筛查。Objective To analyze the incidence and risk factors of gestational diabetes mellitus(GDM)in pregnant women treated in Zhengzhou People’s Hospital in 2020.Methods The 3343 pregnant women treated in Zhengzhou People’s Hospital from January 2020 to December 2020 were selected as the research objects.According to the 2010 International Association for the Study of Gestational Diabetes Research GDM diagnostic criteria,the number of GDM patients was counted,a self-designed questionnaire was used to collect and analyze relevant clinical data,and multivariate Logistic regression was used to analyze the risk factors of GDM.Results There were 3343 pregnant women,among which 603 cases were GDM,and the incidence of GDM was 18.04%.There were significant differences in morbidity of GDM among patients with different ages,pre-pregnancy body mass index(BMI),times of pregnancy,parity,number of abortions,history of ectopic pregnancy,passive smoking,high energy intake,irregular eating and sleep quality(P<0.05).The results of multivariate Logistic regression analysis showed that age≥35 years old(OR=2.702,95%CI 1.646-4.437),pre-pregnancy BMI≥25 kg/m2(OR=3.618,95%CI 1.108-11.821),pregnancy times≥3 times(OR=2.450,95%CI 1.636-3.668),parity≥3 times(OR=1.919,95%CI 1.442-2.555),abortion times≥2 times(OR=3.089,95%CI 1.362-7.010),high energy intake(OR=6.080,95%CI 1.077-34.318)and irregular eating(OR=4.179,95%CI 1.244-14.031)were risk factors for the occurrence of GDM(P<0.05).Conclusions In 2020,pregnant women in Zhengzhou People’s Hospital had a high rate of GDM,and early GDM screening should be strengthened for pregnant women with advanced age,high pre-pregnancy BMI,high number of pregnancies and births,high number of abortions,high-energy feeding and irregular diet.

关 键 词：妊娠 糖尿病 流产 

分 类 号：R714.256[医药卫生—妇产科学]