3367例妊娠期糖尿病患者的年龄分布与区域分布特点

Age distribution and regional distribution characteristics of 3367 cases of patients with gestational diabetes mellitus

目的研究妊娠期糖尿病（GDM）患者人数及GDM发病率的年龄分布特点,以及不同户籍孕妇GDM发病率的差异。方法对2014年1月~2016年6月在我院建立孕产妇健康卡并进行系列产检的28 644例孕妇（包括3367例GDM患者）进行回顾性分析。结果 GDM患者年龄呈正偏态分布,不同年龄、不同户籍孕妇GDM发病率整体差异均达到显著水平（P〈0.01）,发病率（y）与年龄（x）的回归方程式为y=5E-05x2.277（18≤x≤45,R2=0.913）,年龄每增长1岁GDM发病率约提高0.8个百分点,不同户籍孕妇发病率总体上东北〉沿海〉沿江〉西北,呈现从东部向西部递减、从沿江向南北递减的趋势。结论 GDM发病率随年龄增长逐步上升,适度提早孕育、及早开展GDM营养和运动干预具有重要意义;针对不同区域GDM发病率及其未来趋势应该在加强宣教与健康生活方式引导的基础上采取不同的策略性措施。

Objective To study the number of patients with gestational diabetes mellitus（GDM） and the incidence of GDM age distribution characteristics,and the differences of different household register incidence of GDM pregnant women.Methods 28 644 cases of pregnant women（including 3367 GDM patients） from January 2014 to June 2016 in our hospital to establish series of prenatal maternal health card,were retrospectively analyzed.Results GDM patients age was positively skewed distribution,different age,different household register difference were observed in the overall incidence of GDM pregnant women reached significant level（P 0.01）,the incidence of a disease（y） and age（x） of the regression equation for y = 5 E-05x2.277（18 ≤x ≤45,R2= 0.913）,age was growed per 1 about a 0.8% increasing in incidence of GDM,different household register incidence of pregnant women on the whole was northeast coastal along the riverthe northwestern,decreased from the trend of the east to the west,along the river to the north and south.Conclusion The incidence of GDM is gradually increased along with the age growth,moderate and GDM nutrition and exercise early pregnant,early intervention is of great significance;according to different regional incidence of GDM and its future trend to strengthen propaganda and education and health way of life to guide on the basis of different strategic measures.