文档介绍：妊娠期糖尿病危险因素及血糖干预对妊娠结局的影响
【摘要】目的探讨妊娠期糖尿病(GDM)发病的危险因素及血糖控制对母婴妊娠结局的影响。方法收集确诊的140例GDM患者作为病例组和140例正常孕妇为对照组,根据血糖控制情况将GDM病例分为血糖控制良好组(83例)和控制不良组(57例);分析影响GDM发病的危险因素,比较血糖控制良好组和不良组母婴妊娠结局及并发症发生情况。结果多因素分析结果显示,超重或肥胖(OR=)、妊娠年龄(OR=)、高血红蛋白血症(OR=)、月经周期紊乱(OR=)、不良孕产史(OR=)、糖尿病家族史(OR=)均为GDM发病的危险因素。血糖控制不良组的妊娠期高血压疾病、羊水过多、***症酸中毒、产后出血、剖宫产等并发症发生率均明显高于控制组(P<);控制不良组的早产、巨大儿、新生儿窒息、新生儿低血糖、高胆红素血症等并发症发生率明显高于控制组(P<)。结论应重视GDM发病的危险因素,早发现、早诊断、早治疗GDM,重点控制妊娠期血糖水平,从而降低GDM对母婴妊娠结局的影响。
【关键字】妊娠期糖尿病;妊娠结局;并发症;危险因素;血糖
Risk Factors of Gestational Diabetes Mellitus and Pregnancy e Affected by Blood Sugar Intervention
【Abstract】Objective To explore the risk factors of gestational diabetes mellitus (GDM), and study the effect of blood sugar intervention affecting pregnancy e. Methods With case-control study method, 140cases of GDM patients as case group and 140 cases without this disease as control group were collected. GDM cases were divided into good blood sugar control group (83 cases) and not good control group (57 cases) according to blood sugar control condition. The risk factors of GDM were analyzed and pregnancy e plications pared between good and not good control groups. Results Multiple factors Logistic Regression analysis result showed that overweight or obesity (OR=), gestational age (OR=), hyperhemoglobinemia (OR=), menstrual cycle disorder (OR=), adverse