摘要
目的探讨妊娠期糖尿病发病影响因素,为妊娠期糖尿病病因学研究提供科学依据。方法以辽宁省沈阳市部分地区筛查出的74例妊娠期糖尿病患者为病例组,以在同一医疗机构同期就诊的76名健康孕妇为对照组进行病例对照研究。结果单因素分析、多分类变量的剂量效应检测和多因素分析显示,妊娠合并肥胖(OR=15.139,95%CI=2.910～78.765)、孕前体质指数(OR=1.317,95%CI=1.094～1.584)、糖尿病家族史(OR=4.531,95%CI=1.065～19.284)及孕后进食水果量(OR=0.472,95%CI=0.241～0.926)与妊娠期糖尿病有关。结论妊娠合并肥胖、孕前体质指数及糖尿病家族史可能是妊娠期糖尿病的危险因素,孕后进食水果量可能是妊娠期糖尿病的保护因素。
Objective To investigate the influential factors of gestational diabetes mellitus（GMD）,and to provide evidence for etiological study of GDM.Methods Seventy-four GDM patients were chosen through screening in Maternal and Child Health Unit as case group,and 76 healthy pregnant women were chosen at the same unit and same period as control group.Results Based on the analysis,GDM was probably associated with obesity in pregnancy（odds ratio=15.139,95% confidence interval=2.910-78.765）,body mass index before pregnancy（OR= 1.317,95%CI=1.094-1.584）,DM family history（OR=4.531,95%CI=1.065-19.284） and quantity of fruit intaking during pregnancy（OR=0.472,95%CI=0.241-0.926）.Conclusion Obesity in pregnancy,BMI before pregnancy and DM family history are probably risk factors for GDM,and the quantity of fruit intake during pregnancy may be a protective factor for GDM.
出处
《中国公共卫生》
CAS
CSCD
北大核心
2010年第9期1101-1102,共2页
Chinese Journal of Public Health
基金
国家"十一五"科技支撑计划(2007BAI07A13)
