妊娠期糖尿病孕妇发生产后糖尿病的影响因素  

Influence Factors for Postpartum Diabetes in Women with Gestational Diabetes Mellitus

作　　者：何文聪[1] 冯祥 韩庆 罗飞[1] 刘琼[1] 李华[1] 叶红[1] 黄馨 吕佳 许宁红 王英菊[1] 周静雅 高倩倩 He Wencong;Feng Xiang;Han Qing;Luo Fei;Liu Qiong;Li Hua;Ye Hong;Huang Xin;Lv Jia;Xu Ninghong;Wang Yingju;Zhou Jingya;Gao Qianqian(Department of Obstetrics and Gynecology,Yichang Central People's Hospital,The First College of Clinical Medical Science,China Three Gorges University&Institute of Obstetrics and Gynecology,China Three Gorges University,Yichang 443003,China)

机构地区：[1]三峡大学第一临床医学院[宜昌市中心人民医院]妇产科&三峡大学妇产科研究所,湖北宜昌443003

出　　处：《巴楚医学》2023年第2期63-66,共4页Bachu Medical Journal

基　　金：湖北省自然科学基金项目(No:D20211206);宜昌市医疗卫生研究项目(No:A23-1-012)。

摘　　要：目的:探讨妊娠期糖尿病(GDM)孕妇发生产后糖尿病的影响因素。方法:回顾性收集2019年1月1日-2021年12月31日于宜昌市中心人民医院就诊的372例GDM孕妇临床资料,根据是否患有产后糖尿病,分为产后糖尿病组和产后非糖尿病组。通过二元Logistic线性回归分析产后糖尿病的高危因素。结果:31例孕妇患有产后糖尿病(8.33%),两组孕妇在分娩时体重指数(BMI)差异有统计学意义(P<0.05);在年龄、民族、建卡时BMI、糖化血红蛋白、孕期是否行胰岛素治疗、学历、是否足月、分娩方式、怀孕方式、是否初产、新生儿性别、新生儿体重、新生儿Apgar评分1 min和5 min差异均无统计学意义(均P>0.05)。GDM患者分娩时BMI每提升1个单位患产后糖尿病的风险增加50.4%(OR=1.504,95%CI:1.199,1.887)。结论:分娩时BMI是产后糖尿病的独立危险因素。Objective:To investigate the influence factors of postpartum diabetes in pregnant women with gestational diabetes mellitus(GDM).Methods:The clinical data of 372 pregnant women with GDM from January 1,2019 to December 31,2021 in Yichang Central People's Hospital were retrospectively collected.They were divided into the postpartum diabetes group and the postpartum non-diabetes group.The risk factors of postpartum diabetes were analyzed using binary Logistic regression.Results:A total of 31 pregnant women were suffered from postpartum diabetes(8.33%).The difference of body mass index(BMI)between the two groups at delivery was statistically significant(P<0.05).There were no significant differences in age,nationality,BMI at the time of card establishment,glycated hemoglobin,insulin therapy during pregnancy,education level,term delivery,delivery method,pregnancy method,primipara,neonatal sex,neonatal weight,neonatal Apgar score at 1 min,and 5 min between the two groups(all P>0.05).GDM patients had a 50.4%increased risk of developing postpartum diabetes for every 1 unit increase in BMI at delivery(OR=1.504,95%CI:1.199,1.887).Conclusion:BMI at delivery is an independent risk factor for postpartum diabetes.

关 键 词：妊娠期糖尿病 产后糖尿病 OGTT试验 

分 类 号：R714.256[医药卫生—妇产科学]