摘要
Abstract
Objective To analyze the influence factors of gestational diabetes mellitus(GDM)and to provide basis for its prevention and treatment.Methods Totally 729 pregnant women examined in Angel Maternity Hospital of Xi'an City from March 2016 to March 2017 were selected as research objects.They were divided into GDM group(123 cases)and control group(606 cases).The related data of two groups were compared and influence factors of GDM were analyzed.Results Age,BMI before pregnancy,weight gain during pregnancy in GDM group were significantly higher than those in the control group(t value was 3.08,2.87 and 2.99, respectively,all P< 0.05),and the proportion of cases with family history of diabetes was significantly higher in GDM group (χ2=12.26,P<0.05).But the proportions of cases taking VitD and keeping walking every day were significantly lower in GDM group(χ2value was 19.69 and 28.51,respectively,both P<0.05).Logistic regression analysis results showed that advanced age (≥35 years),overweight before pregnancy,excess weight gain during pregnancy,and family history of diabetes were risk factors for GDM(OR value was 2.89,4.59,6.36 and 2.89,respectively,all P< 0.05),and that taking VitD during pregnancy and keeping walking every day were the protection factors for GDM(OR value was 0.58 and 0.47,respectively,both P< 0.05). Conclusion Advanced age,overweight before pregnancy,excess weight gain during pregnancy,and family history of diabetes are risk factors for GDM,while taking VitD during pregnancy and keeping walking every day are protection factors.Obstetricians should pay more attention to the related factors so as to prevent and reduce adverse outcomes.关键词
妊娠中晚期/妊娠期糖尿病/口服葡萄糖耐量试验/影响因素Key words
second and third trimester/gestational diabetes mellitus(GDM)/oral glucose tolerance test/influence factors分类
医药卫生
