新疆阿克苏地区与浙江丽水地区妊娠期糖尿病调查结果分析

Analysis of gestational diabetes mellitus in Aksu area of Xinjiang and Lishui area of Zhejiang province

目的比较新疆阿克苏地区与浙江丽水地区妊娠期糖尿病(GDM)发生率和母婴结局。方法调查2014年3月至2016年12月期间在新疆阿克苏地区新和县人民医院和浙江省丽水市缙云县第二人民医院接受75 g口服葡萄糖耐量试验(OGTT)的孕妇资料,比较两地区GDM发生率以及母婴结局。结果新疆阿克苏地区孕妇GDM的发生率高于浙江丽水地区,差异具有统计学意义(P<0.05);在30~34岁、35~39以及40岁及以上年龄段新疆阿克苏地区孕妇空腹血糖水平高于浙江丽水地区,差异具有统计学意义(P<0.05);新疆阿克苏地区巨大儿和新生儿窒息发生率高于浙江丽水地区,差异具有统计学意义(P<0.05)。结论不同地区人们有着自己独特的生活习惯、民族特点,其GDM也具有地区差异。

Objective To compare the incidence of gestational diabetes mellitus(GDM)and maternal and infant outcomes between Aksu District of Xinjiang and Lishui District of Zhejiang.Methods Data were investigated of pregnant women who received 75 g oral glucose tolerance test(OGTT)from Akesu Maternity and Child Health Care Hospital and Lishui City Maternity and Child Health Care Hospital.The GDM incidences and maternal outcomes in both regions were compared.Results The incidence of GDM in pregnant women in Aksu area of Xinjiang was significantly higher than that in Lishui,Zhejiang Province,and the difference was significant(P<0.05).In the groups of 30 to 34 years old,35 to 39 years old and 40 years old and above,the incidence of GDM in the Aksu area of Xinjiang was significantly higher than that in the Lishui area of Zhejiang province(P<0.05);The incidences of macrophage and neonatal asphyxia in Aksu area of Xinjiang were significantly higher than those in Lishui,Zhejiang Province(P<0.05).Conclusion People in different regions have their own unique habits and national characteristics,and the GDM also has significant regional differences.