妊娠期糖尿病孕妇产后血糖水平分析

Postpartumglucose intolerance in women with gestational diabetes mellitus

目的 了解GDM孕妇产后的血糖水平,并探讨血糖异常的影响因素。方法 对2014—2016年湖北省妇幼保键院产科住院分娩的GDM孕妇进行随访,于产后6~12周复查OGTT并记录。结果 共分娩2586例GDM孕妇,有1362名孕妇返回医院复查,行OGTT检测,共检出血糖异常303例(22.25%),其中DM32例,空腹血糖受损和糖耐量受损271例。25~岁年龄组产妇血糖异常检出率最低,为18.88%,≥35岁组血糖异常检出率最高,达27.06%,差异有统计学意义(χ^2=7.90,P=0.04);产后喂养方式为母乳者血糖异常检出率最低,为19.31%,喂养方式为人工者血糖异常检出率最高为36.17%,差异有统计学意义(χ^2=9.33,P=0.01)。结论 需增强≥35岁GDM孕妇产后血糖水平随访。在喂养方式上,鼓励GDM孕妇选择母乳喂养,能促进其产后血糖水平的恢复。

Objective To investigate the blood glucose level of postpartum women with GDM and the influencing factors of abnormal blood glucose. Methods During 6-12 weeks after birth,following up the OGTT of GDM pregnant women who were hospitalized in our hospital from 2014 to 2016. Results 2 586 pregnant women with GDM were delivered and 1 362 pregnant women returned to the hospital for OGTT test.Blood glucose abnormalities were detected in 303 patients(22.25%),including DM 32,impaired fasting glucose and impaired glucose tolerance 271.25-age group had the lowest detection rate of abnormal blood glucose which was 18.88%and 35 years old group was the highest upping to 27.06%,the difference was statistically significant(χ^2=7.90,P=0.04).The abnormality rate of postpartum breastfeeding was lowest,19.31%and artificial feeding was the highest,up to 36.17%,the difference was statistically significant(χ^2=9.33,P=0.01). Conclusion Reinforced follow-ups for the postpartum blood glues level of GDM pregnant whose age over 35 years old are required.Encouraging GDM pregnant women to choose breastfeeding which can promote the recovery of postpartum blood sugar level.