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目的对妊娠合并糖尿病疾病发生的相关危险因素进行研究分析。方法选取本院自2010年5月~2012年5月收治的60例妊娠合并糖尿病孕妇作为观察组,选取同期在本院正常体检的50例健康孕妇作为参考组,比较分析两组孕妇一般临床资料,采用logistic分析方法对合并糖尿病疾病发生的危险因素进行分析。结果观察组孕妇年龄、围产期体重明显大于参考组,差异有统计学意义(P<0.05);观察组孕妇血压及血糖水平均明显高于参考组,差异有统计学意义(P<0.05);两组患者文化水平、月经史、HbsAg阳性、空腹血糖阳性比较差异无统计学意义(P>0.05);高血红蛋白血症、糖尿病家族史、既往不良孕产史等是导致妊娠合并糖尿病疾病的独立危险因素(P<0.05)。结论孕妇年龄、高血红蛋白血症、糖尿病家族史、不良孕产史是导致妊娠合并糖尿病疾病的独立危险因素,医护人员要严格掌握妊娠期糖尿病发生的高危因素,采取有效措施进行治疗,改善妊娠结局。
Objective To study the related risk factors of pregnancy complicated with diabetes mellitus. Methods Sixty pregnant women with gestational diabetes mellitus who were treated in our hospital from May 2010 to May 2012 were selected as the observation group and 50 healthy pregnant women in the same period of our hospital were selected as the reference group. The clinical data of two groups of pregnant women Logistic analysis was used to analyze the risk factors of diabetes mellitus. Results The weight of pregnant women in the observation group was significantly longer than that in the reference group (P <0.05). The blood pressure and blood glucose level of pregnant women in the observation group were significantly higher than those in the reference group (P <0.05) ; There was no significant difference in culture level, menstrual history, HbsAg positive and fasting blood glucose positive between the two groups (P> 0.05); Hyperactive hemoglobinmia, family history of diabetes, previous history of adverse pregnancy and so on were the causes of pregnancy complicated with diabetes Independent risk factors (P <0.05). Conclusion The age of pregnant women, hyperhemoglobinemia, family history of diabetes and poor pregnancy history are the independent risk factors of pregnancy complicated with diabetes. .