摘要
目的：探讨妊娠期糖尿病孕妇产后血糖异常的影响因素。方法：选取2010年1月~2013年6月在本院住院分娩的产妇110例,均在产前诊断为妊娠期糖尿病且产后2个月时行口服葡萄糖耐量试验（OGTT,75g）检查并对其进行问卷调查。结果：产后血糖正常者76例（69.09%）,血糖异常者34例（29.91%）,糖耐量降低者13例（11.82%）,2型糖尿病者21例（19.09%）;单因素分析血糖异常组与血糖正常组在妊娠年龄、孕前体重指数（BMI）、产前BMI、糖尿病家族史、产后运动锻炼时间等方面比较差异具有统计学意义（P〈0.05）,两组在民族、吸烟史、饮酒史、不良孕产史、高血压病史方面比较差异无统计学意义（P〉0.05）,多因素非条件logistic回归分析结果显示妊娠年龄、孕前BMI、糖尿病家族史是引起产后血糖异常的独立危险因素（P〈0.05）,产后运动锻炼是保护因素（P〈0.05）。结论：年龄大、孕前BMI高、合并有糖尿病家族史是引起妊娠期糖尿病孕妇产后发生血糖异常的主要危险因素。
Objective：To investigate influencing factors of postpartum glucose abnormalities among gestational diabetes women.Methods：A total of 110 gestational women delivering in our hospital who were diagnosed as gestational diabetes and did oral glucose tolerance test（OGTT,75g）after 2 months of delivery were recruited between Jan 2010 and June 2013.A questionnaire survey was conducted.Results：There were 76（69.09%）women with normal postpartum blood glucose levels,34（29.91%）with glucose abnormalities,13（11.82%）with impaired glucose tolerance,21（19.09%）with type 2diabetes.Single factor analysis showed that differences in pregnancy age,pre-pregnancy body mass index（BMI）,prenatal BMI,family history of diabetes,postpartum exercise timing between normal and abnormal blood glucose groups had statistical significance between two groups（P〈0.05）.And the ethnicity,smoking history,alcohol consumption,abnormal maternal history,history of hypertension had no significant difference between two groups（P〉0.05）.Non-conditional logistic regression analysis showed that gestational age,pre-pregnancy BMI,family history of diabetes were independent risk factors of postpartum glucose abnormalities（P〈0.05）,and post-natal exercise was a protective factor（P〈0.05）.Conclusion：Old age,high pregnancy BMI,family history of diabetes are mainly high risks of postpartum glucose abnormalities.
出处
《中国计划生育学杂志》
2015年第6期376-379,共4页
Chinese Journal of Family Planning
关键词
妊娠期糖尿病
血糖
影响因素
回归分析
Gestational diabetes
Blood glucose
Influenced factor
Regression analysis
