营口市妊娠糖尿病发病相关危险因素分析

目的调查分析营口市妊娠糖尿病（GDM）的流行病学情况,为妊娠糖尿病的个体化预防提供依据。方法共纳入营口市24~28周孕妇2319例,以问卷调查的方收集包括年龄、文化程度、职业、体重指数（BMI）、多囊卵巢综合征（PCOS）、甘油三酯（TG）、总胆固醇（TC）、妊娠次数、糖尿病家族史、肿瘤家族史等情况。采用Logistic回归分析对妊娠糖尿病的相关危险因素进行分析。结果妊娠糖尿病的知晓率为67.8%,发病率为8.4%。单因素Logistic回归分析结果显示年龄≥25岁、BMI≥25 kg/m2、PCOS、中心性肥胖、糖尿病家族史、高胆固醇血症、恶性肿瘤家族史均会明显增加GDM的发生风险（P〈0.05）。多因素Logistic回归分析显示PCOS、糖尿病家族史是GDM发生的最重要危险因素（P〈0.05）。结论营口市妊娠糖尿病发病率为8.4%,其中PCOS、糖尿病家族史是GDM患者需要重点干预的危险因素。

Objective To investigate the association between various risk factors and gestational diabetes mellitus （GDM） prevalence in Yingkou city. Methods A total of 2319 pregnant women in Yingkou city were investigated via questionnaire survey, physical examination by multistage randomized sampling. Logistic regression analysis was used to identify the risk factors of GDM. Results The awareness rate among pregnant women was 67.8% and the incidence of GDM was 8.4%. Logistic regression analysis showed that age, BM! （body mass index）, PCOS （polycystic ovarian syndrome）, TC （total cholesterol）, family history of diabetes mellitus were risk factors for GDM. Conclusion The incidence of GDM in Yingkou city was 8.4%. And PCOS, family history of diabetes mellitus is the high priority intervention for GDM patients.