论文部分内容阅读
目的了解新疆阿合奇县孕妇的妊娠期糖尿病(gestational diabetes mellitus,GDM)患病情况,旨在该地区推广GDM的筛查和诊断工作,降低GDM的不良结局。方法按照2010年国际糖尿病与妊娠研究组(International Association of Diabetic Pregnancy Study Group,IADPSG)推荐的方法和标准,对孕24~28周的410例产检孕妇进行75 g葡萄糖耐量试验(oral glucose tolerance test,OGTT)。对本地区的GDM患病率进行统计,比较分析不同民族、不同年龄段和不同孕前身体质量指数的发病情况。结果本地区GDM的总患病率5.12%,柯族患病率为4.72%,汉族患病率为10.81%,柯、汉民族间患病率无显著性差异(P>0.05)。GDM的患病率随年龄的增长而上升、随患者孕前身体质量指数的增高而上升,两者差异均有统计学意义(P<0.05)。结论在边疆少数民族地区推广新的GDM诊断方案及标准,可简单、有效的筛查出GDM患者。对少数民族育龄期妇女应加强妊娠前咨询,宣传GDM相关知识,切实做好GDM的预防工作,可减少围生期并发症及孕母和子代的远期代谢紊乱,提高当地人口素质。
Objective To understand the prevalence of gestational diabetes mellitus (GDM) among pregnant women in Achqi County, Xinjiang Uygur Autonomous Region, aiming to promote the screening and diagnosis of GDM in this area and to reduce the adverse outcomes of GDM. Methods According to the methods and standards recommended by the International Association of Diabetic Pregnancy Study Group (IADPSG) in 2010, oral glucose tolerance test was performed in 410 pregnant women with gestational age from 24 to 28 weeks. OGTT). The prevalence of GDM in the region were statistically analyzed, and the incidence of body mass index among different ethnic groups, different age groups and different pre-pregnancy were compared and analyzed. Results The prevalence of GDM in this region was 5.12%. The prevalence of Corbi was 4.72%. The prevalence rate of Han was 10.81%. There was no significant difference in the prevalence of G-Han and Han (P> 0.05). The prevalence of GDM increased with age and increased with the increase of body mass index (PMI) before pregnancy. The difference was statistically significant (P <0.05). Conclusion It is a simple and effective method to screen GDM patients in the border areas of ethnic minority areas to promote new GDM diagnostic programs and standards. Ethnic minority women of childbearing age should strengthen pre-pregnancy counseling, publicity of GDM-related knowledge, and effectively prevent GDM, reduce perinatal complications and long-term metabolic disorders of pregnant mothers and offspring to improve the quality of the local population.