妊娠期糖尿病孕妇产后血糖异常的影响因素分析  

Influencing Factors of Postpartum Blood Glucose Abnormality in Preg⁃nant Women with Gestational Diabetes Mellitus

作　　者：张伟金 吴珊珊 杨娴 ZHANG Weijin;WU Shanshan;YANG Xian(Department of Obstetrics,the First Hospital of Putian City,Putian 351100,Fujian,China)

机构地区：[1]福建省莆田市第一医院产科,福建莆田351100

出　　处：《糖尿病新世界》2024年第10期37-40,共4页Diabetes New World

摘　　要：目的分析影响妊娠期糖尿病(gestational diabetes mellitus,GDM)孕妇产后血糖异常的相关因素。方法选取2021年2月—2024年2月莆田市第一医院完成分娩的146例GDM产妇作为研究对象,均在产后接受口服葡萄糖耐量试验,结果显示血糖异常的产妇纳入观察组、血糖正常的产妇纳入对照组。发放本院自制的调查问卷,分析影响产后血糖异常的相关因素。结果口服葡萄糖耐量试验结果显示,90例(61.64%)存在血糖异常,56例(38.36%)为血糖正常。Logistic回归分析结果显示,诱发GDM产妇产后血糖异常的独立危险因素包括年龄、孕前及产前体重指数(P均<0.05)。结论GDM产妇产后血糖异常与年龄较大、孕前及产前体重指数高之间存在密切关系,临床工作人员应重点关注上述影响因素,以防止发生产后血糖异常。Objective To analyze the related factors affecting postpartum blood glucose abnormalities in pregnant women with gestational diabetes mellitus(GDM).Methods A total of 146 pregnant women with GDM who completed delivery in The First Hospital of Putian City from February 2021 to February 2024 were selected as the research ob-jects.All of them received oral glucose tolerance test after delivery.The results showed that the pregnant women with abnormal blood glucose were included in the observation group,and the pregnant women with normal blood glucose were included in the control group.A self-made questionnaire was issued to analyze the related factors affecting post-partum blood glucose abnormalities.Results The results of oral glucose tolerance test showed that 90 cases(61.64%)had abnormal blood glucose and 56 cases(38.36%)had normal blood glucose.Logistic regression analysis showed that the independent risk factors for abnormal postpartum blood glucose in GDM women included age,pre-pregnancy and prenatal body mass index(all P<0.05).Conclusion There is a close relationship between postnatal blood glucose ab-normalities in GDM mothers and older age and high pre-pregnancy and prenatal body mass index,and clinical staff should focus on the above influencing factors in order to reduce the risk of postnatal blood glucose abnormalities.

关 键 词：妊娠期糖尿病 产后血糖异常 糖耐量试验 影响因素 回归分析 

分 类 号：R714.256[医药卫生—妇产科学]