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目的探讨妊娠期糖尿病(GDM)发病的相关危险因素。方法收集确诊的140例GDM患者作为病例组和140例正常孕妇作为对照组,采用多因素Logistic回归分析影响GDM发病的危险因素。结果多因素分析结果显示,超重或肥胖(OR=3.019)、妊娠年龄(OR=1.568)、高血红蛋白血症(OR=1.519)、月经周期紊乱(OR=2.018)、不良孕产史(OR=2.815)和糖尿病家族史(OR=4.948)均为GDM发病的危险因素。结论应重视GDM发病的危险因素,早发现、早诊断、早治疗GDM,从而降低GDM对母婴妊娠结局的影响。
Objective To investigate the related risk factors of gestational diabetes mellitus (GDM). Methods 140 cases of diagnosed GDM were collected as case group and 140 normal pregnant women as control group. Multivariate Logistic regression analysis was used to analyze the risk factors influencing GDM. Results Multivariate analysis showed that overweight or obesity (OR = 3.019), gestational age (OR = 1.568), hyperhemoglobinmia (OR = 1.519), menstrual cycle disorder 2.815) and family history of diabetes (OR = 4.948) were all risk factors of GDM. Conclusion GDM should pay attention to the risk factors, early detection, early diagnosis, early treatment of GDM, thereby reducing the impact of GDM on maternal and fetal pregnancy outcomes.