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目的探讨妊娠合并糖尿病的相关危险因素及其logistic分析。方法 2010年8月至2012年8月期间,我院诊治的80例妊娠期糖尿病患者,作为观察组,选取同期80例正常孕妇作为对照组,分别对年龄、身高、孕前和分娩前体重指数(BMI),以及血压和血糖,进行检测和分析。结果与对照组相比,妊娠合并糖尿病患者的年龄明显增高、孕前和分娩前BMI明显增大,收缩压、舒张压、空腹和餐后2h血糖水平均明显升高,差异无统计学意义P<0.05;多因素logistic回归性分析显示,年龄、孕前BMI和分娩期BMI增长率与妊娠合并糖尿病,具有相关性,并且后者的相关性更强。结论针对妊娠期糖尿病的高危因素,做到高度重视,做到早期诊断、早期治疗。
Objective To investigate the related risk factors of pregnancy complicated with diabetes and its logistic analysis. Methods From August 2010 to August 2012, 80 cases of gestational diabetes mellitus diagnosed and treated in our hospital were selected as the observation group. Eighty normal pregnant women in the same period were selected as the control group. The body weight, age, height before pregnancy and body mass index BMI), as well as blood pressure and blood glucose, for testing and analysis. Results Compared with the control group, the age of patients with gestational diabetes mellitus was significantly increased. The BMI before pregnancy and before delivery increased significantly. The systolic blood pressure, diastolic blood pressure, fasting blood glucose and postprandial 2h blood glucose levels were significantly increased, with no significant difference (P < 0.05; multivariate logistic regression analysis showed that age, pre-pregnancy BMI and childbirth BMI growth rate with pregnancy associated with diabetes, and the latter is more relevant. Conclusion High risk factors for gestational diabetes mellitus, attach great importance to early diagnosis and early treatment.