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目的:探讨妊娠期糖尿病(GDM)合并感染的诱发因素,为临床制定防治干预措施提供依据。方法:通过查阅病历和问卷调查,对138例GDM患者发生感染的情况和部位进行分析,同时选择徐州市第一人民医院同期110例正常妊娠妇女进行对照,应用多元Logistic回归分析两组合并感染与孕周及血糖水平的关系。结果:GDM组感染发生率为63.77%,明显高于对照组的10.90%,差异有统计学意义(P<0.01),GDM患者多发生皮肤感染,血糖水平越高抗感染能力越弱,感染在孕中期发生率最高,产褥期发生感染最少,有7例在不同时期都出现过感染。结论:GDM患者较易感染,控制血糖、合理饮食、加强孕期卫生保健是预防感染的重要措施。
Objective: To investigate the predisposing factors for gestational diabetes mellitus (GDM) co-infection and provide the basis for clinical prevention and intervention measures. Methods: According to the medical history and questionnaire survey, 138 cases of GDM patients were analyzed for infection and location. At the same time, 110 cases of normal pregnant women in Xuzhou First People’s Hospital were selected for comparison. Multivariate logistic regression Gestational age and blood glucose levels. Results: The incidence of GDM infection was 63.77%, significantly higher than that of the control group (10.90%), the difference was statistically significant (P <0.01). GDM patients had multiple skin infections. The higher the blood glucose level, the weaker the anti-infection ability. The highest incidence of second trimester, puerperal infection occurred at least, 7 cases have been infected at different times. Conclusion: GDM patients are more susceptible to infection, blood sugar control, a reasonable diet, to enhance health care during pregnancy is an important measure to prevent infection.