影响初孕妇妊娠糖尿病和产后糖尿病发病的相关因素分析

The Related Factors Affecting the Onset of Gestational Diabetes Mellitus and Postpartum Diabetes in Early Pregnancy

目的 研究影响初孕妇妊娠糖尿病和产后糖尿病发病的危险因素。方法 选取2010年1-6月来我院就诊的50例患有妊娠糖尿病的初孕妇作为研究对象,将其设为观察组,同时选取同期在我院就诊的非妊娠期糖尿病患者50例为对照组,分析比较两组患者孕前体重指数（BMI）、家族糖尿病史、高龄妊娠对初孕妇妊娠患者的影响,并密切观察产后糖尿病的发病情况。结果 观察组产后糖尿病发病率（86.95%）高于对照组（13.05%）,两者之间的差异有统计学意义（P〈0.05）。结论 孕前BMI、家族糖尿病史及高龄妊娠是初孕妇妊娠糖尿病的危险因素,而妊娠糖尿病是引起产后糖尿病的直接因素,同时也说明了孕前BMI、家族糖尿病史及高龄妊娠与产后糖尿病的发病存在相关性。

Objective To analyze the risk factors of gestational diabetes mellitus and postpartum diabetes. Methods From January to June 2010 to our hospital of early pregnant women with 50 cases of gestational diabetes mellitus（GDM）as the research object,divided into the observation group,and selected over the same period in non gestational diabetes in our hospital for treatment of 50 cases as control group. Analysis compared two groups of patients with pre pregnancy weight number（BMI）,family history of diabetes,pregnancy in elder women of early pregnancy in patients with pregnancy,and closely observed the incidence of postpartum diabetes. Results The incidence rate of diabetes in the observation group（86.95%）was significantly higher than that in the control group（13.05%）,and there was significant difference between the two groups（P〈0.05）. Conclusion BMI beforepregnancy,family history of diabetes and age of pregnancy is a risk factor for diabetes in early pregnancy,and gestational diabetes mellitus is a direct cause of postpartum diabetes. At the same time also shows that the correlation between the incidence of BMI before pregnancy,family history of diabetes and pregnancy and postpartum diabetes in elderly patients.