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目的:探讨赣南地区妊娠期糖尿病的危险因素。方法:收集2011年5月~2012年11月我院定期产检、孕前无糖尿病并于我院分娩的孕妇病例,所有孕妇均在孕24~28周进行75 g葡萄糖筛查试验,采用2010年国际妊娠合并糖尿病研究组织(IADPSG)推荐的GDM诊断的新标准进行诊断。结果:两组的年龄大于30岁、孕前体重指数≥25 kg·m-2、多次分娩史、不良孕产史(自然流产、死胎引产)、巨大儿分娩史、家族性遗传病史(特别是糖尿病、高血压史)的发生率相比,差异具有统计学意义(P<0.05)。结论:孕妇年龄、肥胖、多次分娩史、不良孕产史(自然流产、死胎引产)、家族遗传病史、巨大儿分娩史等是引发GDM发生的高危因素,对此类高危人群早期进行临床干预,从而减少母婴并发症的发生,降低孕产妇及围产儿死亡率。
Objective: To explore the risk factors of gestational diabetes in Gannan area. Methods: A total of 75 pregnant women with non-diabetic and pregnant women who delivered in our hospital from May 2011 to November 2012 were enrolled in this study. All pregnant women underwent 75-g glucose screening test at 24-28 weeks of pregnancy. The New Criteria for the Diagnosis of GDM Recommended by the Pregnancy Complicated Diabetes Research Organization (IADPSG) is diagnosed. Results: The two groups were older than 30 years old with a body mass index of 25 kg · m-2 before pregnancy, multiple delivery history, poor history of maternity (spontaneous abortion and stillbirth), history of giant childbirth, familial genetic history (especially Diabetes, hypertension history), the difference was statistically significant (P <0.05). Conclusion: Age, obesity, multiple delivery history, history of poor motherhood (spontaneous abortion and stillbirth), family history of disease and history of giant childbirth are the risk factors for the initiation of GDM. Early intervention in these high-risk groups , Thereby reducing the incidence of maternal and child complications, reduce maternal and perinatal mortality.