摘要
目的探讨妊娠期糖尿病(GDM)的危险因素。方法选取2022年1月至6月在广州市花都区妇幼保健院产检的GDM孕妇56例(GDM组)及正常孕妇116例(正常组),采用logistic回归分析GDM发病的危险因素。结果两组年龄、孕前体重指数、三酰甘油(TG)水平、既往GDM史、早期空腹血糖≥5.1 mmol/L、糖尿病家族史及孕12~20周接受个性化营养干预情况比较,差异有统计学意义(P<0.05)。多因素logistic回归分析显示,TG、早期空腹血糖≥5.1 mmol/L、糖尿病家族史是GDM的危险因素,孕12~20周接受个性化营养干预是保护因素(P<0.05)。结论早期空腹血糖≥5.1 mmol/L、TG、糖尿病家族史对GDM发病有显著影响,在孕12~20周接受个性化营养干预对预防GDM具有重要意义。
Objective To investigate the risk factors of gestational diabetes mellitus(GDM).Methods A total of 56 pregnant women with GDM(GDM group)and 116 normal pregnant women(normal group)who received prenatal examination in Guangzhou Huadu District Maternal and Child Health Hospital from January to June 2022 were selected,and the risk factors of GDM were analyzed by logistic regression.Results The differences in age,pre-pregnancy body mass index,triacylglycerol level,previous history of GDM,early fasting blood glucose≥5.1 mmol/L,family history of diabetes and receiving individualized nutritional intervention between 12 and 20 weeks of gestation were statistically significant between the two groups(P<0.05).Multivariate logistic regression analysis showed that triacylglycerol level,early fasting blood glucose≥5.1 mmol/L and family history of diabetes were risk factors for GDM,and receiving individualized nutritional intervention between 12 and 20 weeks of gestation was protective factor(P<0.05).Conclusion Early fasting blood glucose≥5.1 mmol/L,triacylglycerol level and family history of diabetes have significant effects on the occurrence of GDM,and receiving individualized nutritional intervention between 12 and 20 weeks of gestation is important for the prevention of GDM.
作者
熊俊艳
梁燕兰
江玉华
戈水秀
XIONG Junyan;LIANG Yanlan;JIANG Yuhua;GE Shuixiu(Department of Obstetrics,Guangzhou Huadu District Maternal and Child Health Hospital(Hu Zhong Hospital),Guangdong Province,Guangzhou 510800,China)
出处
《妇儿健康导刊》
2023年第4期7-10,35,共5页
JOURNAL OF WOMEN AND CHILDREN'S HEALTH GUIDE
关键词
妊娠期糖尿病
三酰甘油
既往妊娠期糖尿病史
危险因素
个性化营养干预
Gestational diabetes mellitus
Triacylglycerol
Previous history of gestational diabetes mellitus
Risk factors
Individualized nutritional intervention
