中山市小榄地区高龄产妇糖耐量受损的调查分析

Investigation and Analysis of Glucose Tolerance Impairment of Elderly Parturients in Xiaolan Area of Zhongshan City

目的了解中山小榄地区高龄产妇(35-40)的糖耐量受损情况及原因分析。方法对在我院2018年1月至2018年12月检测过糖耐量试验的孕周在24至28周35至40岁的高龄孕妇的结果分析,包括空腹血糖,服食75 g无水糖后的1小时和1小时的血糖。同时通过问卷调查将患者分组,分平常有坚持运动组(n=48)、偶尔运动组(n=170)、无运动组(n=110),有加餐(n=205)和无加餐组(n=123)、喜欢食甜食(n=101)和不食或少食甜食组(n=227),根据数据整理分析的结果提示作出相应的建议。结果坚持运动组、偶尔运动组、无运动组组间空腹血糖、服糖后1 h、2 h血糖组间对比,三组中两两组对比差异具有统计学意义(P<0.05);有加餐、无加餐组空腹血糖、服糖后1 h、2 h血糖组间对比,两组组间对比差异具有统计学意义(P<0.05)。喜欢食甜食和不食或少食甜食组空腹血糖、服糖后1 h、2 h血糖组间对比,两组组间对比差异具有统计学意义(P<0.05)。结论运动、加餐、甜食均对糖耐量受损情况产生影响,运动能够改善受损严重程度,加餐、甜食对导致受损程度加重,因此需要进行行为干预,指导高龄产妇积极运动,减少加餐,减少甜食。

Objective To investigate the damage of glucose tolerance of elderly parturients in Xiaolin area of Zhongshan(35-40)and its causes.Methods The results of glucose tolerance test in pregnant women aged 35 to 40 years from 24 to 28 weeks in our hospital from January 2018 to December 2018 were analyzed,including fasting blood glucose,1 hour and 1 hour after taking 75 g anhydrous sugar.At the same time,the patients were divided into three groups:persistent exercise group(n=48),occasional exercise group(n=170),no exercise group(n=110),extra meal(n=205)and no extra meal group(n=123),sweet food(n=101)and no or less dessert group(n=227).The results of data collation and analysis suggest that the corresponding suggestions should be made.Results There was significant difference in fasting blood glucose between the three groups(P<0.05),and there was significant difference between the two groups(P<0.05),and there was significant difference between the two groups at 1 h and 2 h after taking glucose(P<0.05),and there was significant difference between the two groups at 1 h and 2 h after taking glucose(P<0.05),and there was significant difference between the two groups at 1 h and 2 h after taking glucose(P<0.05),and there was significant difference between the two groups at 1 h after taking glucose(P<0.05),and there was significant difference between the two groups(P<0.05).There was significant difference in fasting blood glucose between the two groups at 1 hour after taking sugar and between the two groups(P<0.05),and there was significant difference between the two groups(P<0.05),and there was significant difference between the two groups(P<0.05).Conclusion Exercise,food addition and sweets all have an impact on the damage of glucose tolerance.Exercise can improve the severity of damage,add food and dessert to aggravate the degree of damage.Therefore,it is necessary to carry out behavioral intervention to guide elderly parturients to exercise actively,reduce feeding and reduce sweets.