IADPSG标准下妊娠期糖尿病发病率及危险因素调查

Investigations on the incidence of gestational diabetes mellitus diagnosed by IADPSG criteria and risk factors

目的:调查国际糖尿病与妊娠研究组(IADPSG)制定的妊娠期糖尿病(GDM)诊断标准下GDM的发病率和GDM发生的危险因素。方法:2012年1-12月在镇江市第四人民医院门诊产前检查的2 973例孕妇使用IADPSG标准进行GDM诊断,同期将100名GDM孕妇与100名正常孕妇进行饮食行为习惯的比较,分析GDM发生的危险因素。结果:按照IADPSG诊断标准,GDM发病率为17.1%。口服葡萄糖耐量试验(oral glucose tolerance test,OGTT)时BMI、谷类每天3次以上、营养补充剂每天1次、水果每天大于500g为GDM发生的危险因素。结论:按照IADPSG标准GDM发病率为17.1%,孕期营养过剩或不合理的饮食结构与GDM发生密切相关。

Objective To investigate the incidence of gestational diabetes mellitus （GDM） diagnosed by International Association of Diabetes and Pregnancy Study Groups （IADPSG） criteria and explore the risk factors. Methods GDM was diagnosed according to IADPSG criteria in 2973 pregnant women receiving antenatal care from January 2012 to November 2012 in Zhenjiang Fourth People＇s Hospital. Meanwhile a retrospective study was conducted on 100 women with GDM and 100 healthy pregnant women from January 2012 to November 2012 to analyze the risk factors for GDM. Results The incidence of GDM was 17.1% in our study according to IADPSG criteria. BMI at OGTr, eating cereals more than 3 times a day, eating nutritional supplements once a day, eating fruits more than 500 g every day were risk factors for GDM. Conclusions The incidence of GDM was 17.1% according to IADPSG criteria. Overnutrition during during pregnancy and unreasonable diet are related to GDM.