妊娠期糖尿病筛检及危险因素的研究

Screening of gestational diabetes mellitus and research of risk factors of gestational diabetes mellitus

目的：了解四平市地区2007—2012年孕妇发生妊娠期糖尿病（GDM）情况及探讨其危险因素，为有效预防GDM提供科学依据。方法：对2007～2012年在四平市妇婴医院建卡孕妇4200例，进行GDM筛查和问卷调查，对数据进行整理和分析。结果：首次50g葡萄糖负荷试验阳性277例，阳性率为6．60％；确诊为GDM的为104例，检出率为2．48％；妊娠期糖耐量受损173例，检出率为4．12％；年龄、肥胖、糖尿病家族史为影响GDM的危险因素。结论：加强GDM筛查和重视具有高危因素的妊娠期孕妇，早发现、早诊断、早治疗GDM降低母婴并发症的发生。

Objective： To study pregnant women with gestational diabetes mellitus （GDM） and risk factors from 2007 to 2012 in Siping and provide a scientific basis for effective prevention of GDM. Methods： There were 4 200 cases in the cards for prenatal blood screening and questionnaire of pregnant women in the city of Siping from 2007 to 2012. Data were collected and analyzed. Results： GCT was positive in 277 cases, the positive rate was 21.71%, the diagnosis of GDM was 104 cases, the detection rate was 2. 48%, the diagnosis of GIGT was 173 cases, the detection rate was 0. 02%. GDM risk factors were age, obesity, family history of diabetes. Conclusion： Strengthening GDM screening and attention on pregnant women with risk factors, early detection, early diagnosis, early treatment GDM, thereby reducing the incidence of maternal complications.