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目的了解妊娠期糖代谢异常妇女产后3年糖代谢转归情况并探究相关影响因素。方法 145例确山县人民医院诊断妊娠期糖代谢异常并分娩的患者,分别于产后6~12周及3年行口服葡萄糖耐量试验(75 g OGTT),了解妊娠期糖代谢异常患者产后糖代谢转归情况,并探究影响产后糖代谢转归的因素。结果 1产后3年糖代谢异常检出率为31.03%,其中糖尿病(DM)8例(5.52%),糖耐量受损(IGT)37例(25.52%)。2 Logistic回归分析显示孕期OGTT 1、2 h血糖值高,孕期需要应用胰岛素为产后3年发生糖代谢异常的危险因素。结论妊娠期糖尿病(GDM)孕妇产后糖谢异常发生率高,产后应定期随访,以便及早诊断和治疗。
Objective To investigate the outcomes of glucose metabolism in women with abnormal glucose metabolism in 3 years after delivery and to explore the related influencing factors. Methods One hundred and forty-five patients from Queshan County People’s Hospital diagnosed abnormal glucose metabolism in gestational period and gave birth. The oral glucose tolerance test (75 g OGTT) was performed at 6-12 weeks postpartum and 3 years respectively to understand the postpartum glucose metabolism in patients with abnormal glucose metabolism during pregnancy Outcome, and explore factors that affect the outcome of postpartum glucose metabolism. Results The detection rate of abnormal glucose metabolism was 31.03% at 3 years postpartum, including 8 cases of DM (5.52%) and impaired glucose tolerance (IGT) 37 cases (25.52%). 2 Logistic regression analysis showed that blood glucose levels were high at 1 and 2 h of OGTT during pregnancy, and insulin need to be used as a risk factor for abnormal glucose metabolism during the third trimester of pregnancy. Conclusion Gestational diabetes mellitus (GDM) postpartum pregnant women with high incidence of abnormal glucose and postpartum should be regularly followed up for early diagnosis and treatment.