广州市天河区妊娠期糖尿病发病率回顾性调查

A retrospective survey of the incidence of gestational diabetes mellitus in Guangzhou Tianhe district

目的 调查广州市妊娠糖尿病（GDM）发病率。 方法 选取2012年 10月至2013年12月1250名妊娠24-28周妇女的75 g OGTT结果进行分析。 结果 根据2011年ADA指南推荐的GDM诊断标准进行统计，GDM发病率[13.20%（165/1250）]，其中年龄≥35岁妊娠期妇女发病率[31.63%（31/98）]高于〈35岁妊娠期妇女[11.63%（134/1152）]。 结论 GDM发病率高，尤其是高龄妊娠期妇女。妊娠期早筛查、早发现、早治疗，以保障母婴的良好结局。

Objective To investigate the incidence of gestational diabetes mellitus （GDM） in Guangzhou city from October 2012 to December 2013. Methods The 75 g OGTT at pregnant 24~28 weeks were performed in 1250 women and the results were analyzed. Results GDM diagnostic criteria of ADA in 2011 were accepted. The mean incidence of GDM was 13.20% （165/1250） in all pregnant women. The incidence of GDM was 11.63% （134/1152） in pregnant women aged〈35 years, and 31.63%（31/98） in pregnant women aged≥35 years. Conclusion The incidence of GDM is high in Guangzhou city. It is important to early screen, detect, and treat GDM patients so as to ensure maternal and fetus health.