高龄孕妇并发妊娠期糖尿病发生影响因素及干预措施研究  

Study on the Influencing Factors and Intervention Measures of Gestational Diabetes Mellitus in Elderly Pregnant Women

作　　者：曹静[1] 刘丽君[1] 张莹 CAO Jing;LIU Lijun;ZHANG Ying(Maternal and Child Health Management Center,Shouguang People's Hospital,Shouguang 262700,Shandong,China;Department of Gynecology,Zhucheng People's Hospital,Zhucheng 262200,Shandong,China)

机构地区：[1]寿光市人民医院母婴健康管理中心,山东寿光262700 [2]诸城市人民医院妇科,山东诸城262200

出　　处：《糖尿病新世界》2024年第24期9-12,共4页Diabetes New World

摘　　要：目的探讨高龄孕妇并发妊娠期糖尿病的影响因素,为临床制订预防措施提供依据。方法选择2022年6月—2024年3月寿光市人民医院接诊的高龄孕妇158例,根据患者是否并发妊娠期糖尿病分为发生组和未发生组。收集两组病历资料,对高龄孕妇并发妊娠期糖尿病的影响因素进行单因素和多因素Logistic回归分析。结果158例患者最终确诊妊娠期糖尿病35例(22.15%)。两组高龄孕妇的孕周、文化水平、生育史、是否定期产检、孕前体重指数、居住地、家庭月收入比较,差异均无统计学意义(P均>0.05)。两组年龄、糖尿病家族史及是否接受保健和营养指导比较,差异均有统计学意义(P均<0.05)。多因素Logistic回归结果表明,年龄>40岁及有糖尿病家族史为高龄孕妇并发妊娠期糖尿病的危险因素,接受保健和营养指导为高龄孕妇并发妊娠期糖尿病的保护因素(P均<0.05)。结论高龄孕妇并发妊娠期糖尿病占比较高,受到的影响因素较多,且不同因素之间存在紧密联系,应针对上述可控因素制订预防措施,以降低妊娠期糖尿病发生率。Objective To explore the influencing factors of gestational diabetes mellitus in elderly pregnant women,and to provide basis for clinical formulation of preventive measures.Methods A total of 158 elderly pregnant women admitted to Shouguang People's Hospital from June 2022 to March 2024 were selected and divided into the occur⁃rence group and the non-occurrence group according to whether the patients were complicated with gestational diabe⁃tes mellitus.The medical records of the two groups were collected,and the influencing factors of gestational diabetes mellitus in elderly pregnant women were analyzed by univariate and multivariate Logistic regression analysis.Results Among 158 patients,35 cases(22.15%)were finally diagnosed with gestational diabetes mellitus.There were no sig⁃nificant differences in gestational age,educational level,fertility history,regular prenatal examination,pre-pregnancy body mass index,place of residence and family monthly income between the two groups(all P>0.05).There were sta⁃tistically significant differences in age,family history of diabetes mellitus,and whether receiving health care and nutri⁃tion guidance between the two groups(all P<0.05).Age>40 years old and family history of diabetes mellitus were risk factors for gestational diabetes mellitus in elderly pregnant women,and receiving health care and nutrition guidance was a protective factor for gestational diabetes mellitus in elderly pregnant women(all P<0.05).Conclusion The pro⁃portion of elderly pregnant women with gestational diabetes mellitus is relatively high,and there are many influencing factors,and there is a close relationship between different factors.Preventive measures should be formulated accord⁃ing to the above controllable factors to reduce the incidence of gestational diabetes mellitus.

关 键 词：高龄孕妇 妊娠期糖尿病 多因素LOGISTIC回归分析 

分 类 号：R714.256[医药卫生—妇产科学]