妊娠期糖尿病的流行病学调查分析

Epidemiological investigation and analysis on GDM

目的：了解妊娠期糖尿病（GDM）患者的临床流行病学特征。方法：选择2013年6-12月在深圳市宝安区妇幼保健院确诊为GDM患者200例为病例组,同时随机选择同期非糖尿病孕妇200例为对照组,设计问卷进行调查,了解妊娠期糖尿病的流行病学特征。结果：年龄、糖尿病家族史、PCOS、孕前或孕期超重、巨大儿生育史、孕期运动、多产7个因素是GDM的独立影响因素,最终进入主效应模型的因素是糖尿病家族史、超重、孕期运动。结论：对有高危因素者应早期筛查,做到早发现、早诊断、早治疗。

Objective： To understand the clinical and epidemiological characteristics of gestational diabetes mellitus（ GDM）.Methods： A total of 200 patients diagnosed as GDM in the hospital from June to December in 2013 were selected as case group,200 pregnant women without GDM during the same period were randomly selected as control group; a questionnaire survey was performed to understand the epidemiological characteristics of GDM. Results： Age,family history of diabetes,polycystic ovary syndrome（ PCOS）,overweight before and during pregnancy,birth history of macrosomia,exercises during pregnancy,and multiple pregnancy are independent influencing factors of GDM,the factors entering into the main effect model included family history of diabetes,overweight,and exercises during pregnancy. Conclusion： Early screening should be conducted among the patients with high risk factors in order to ensure early detection,early diagnosis,and early treatment.