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目的了解开封市妊娠期糖尿病(GDM)的发病率及分布情况。方法采用回顾性分析方法,对2009年11月1日-2010年10月30日在开封市妇产医院进行产前检查行糖尿病筛查的2196例孕妇进行临床资料分析。结果开封市妊娠期糖尿病发病率为2.73%;糖筛异常率为10.15%;GDM的发病率随年龄的增长而增加,28岁以上组的发病率明显高于28岁以下组,两组差异有显著性(P<0.05);脑力劳动者GDM的发病率高于体力劳动者,两组差异有显著性(P<0.05);孕前体重指数(BMI)≥25kg/m2者GDM的发病率明显高于(BMI)<25kg/m2者,两组差异有显著性(P<0.05)。结论对育龄妇女首先要进行健康教育,孕前肥胖者建议体重降至正常后再受孕,生育年龄不易过晚,孕期提倡均衡合理饮食及适当运动,降低GDM的发病率。
Objective To understand the incidence and distribution of gestational diabetes mellitus (GDM) in Kaifeng. Methods A retrospective analysis method was used to analyze the clinical data of 2196 pregnant women who were tested on prenatal diabetes screening from November 1, 2009 to October 30, 2010 in Kaifeng Maternity Hospital. Results The incidence of gestational diabetes mellitus was 2.73% in Kaifeng City, and the abnormal rate of glyco-sieve was 10.15%. The incidence of GDM increased with the increase of age. The incidence of GDM in 28-year-old group was significantly higher than that in 28-year-old group (P <0.05). The incidence of GDM in mental workers was higher than that of manual workers, the difference was significant (P <0.05). The incidence of GDM was significantly higher in pre-pregnancy BMI≥25kg / m2 At (BMI) <25kg / m2, there was a significant difference between the two groups (P <0.05). Conclusion First of all, women of childbearing age should have health education. Before pregnancy, obese people recompense their body weight to normal and then conceive. The age of childbirth will not be too late. Pregnancy will promote balanced and reasonable diet and appropriate exercise to reduce the incidence of GDM.