论文部分内容阅读
目的:分析孕妇妊娠期糖尿病的发病情况及其影响因素。方法:回顾性分析2009年1~12月唐山市妇幼保健院接受糖尿病筛查的1 676例孕妇的临床资料,分别按年龄、体重指数(BM I)及筛查孕周分组,比较各组的葡萄糖负荷试验(GCT)异常率、妊娠期糖耐量异常(IGT)和妊娠期糖尿病(GDM)的发生率。结果:35岁以上孕妇的GCT异常率、IGT和GDM的发生率均显著高于其他年龄组;肥胖组的IGT和GDM发生率明显高于非肥胖组;随着筛查孕周的增加,IGT和GDM的检出率也明显增加。结论:GDM的筛查是必要的,对伴有高危因素的孕妇应严格管理,以减少母婴合并症的发生。
Objective: To analyze the incidence of gestational diabetes in pregnant women and its influencing factors. Methods: The clinical data of 1 676 pregnant women undergoing diabetes screening in Tangshan MCH hospital from January to December in 2009 were retrospectively analyzed. The age, body mass index (BMI) Incidence of abnormal glucose load test (GCT), gestational impaired glucose tolerance (IGT) and gestational diabetes mellitus (GDM). Results: The abnormal rate of GCT, the incidence of IGT and GDM in pregnant women over 35 years old were significantly higher than those in other age groups. The incidence of IGT and GDM in obese group was significantly higher than that in non-obese group. With the increase of gestational age, IGT And the detection rate of GDM also increased significantly. Conclusion: GDM screening is necessary, pregnant women with high risk factors should be strictly managed to reduce the incidence of maternal complications.