呼伦贝尔地区蒙古族妊娠期高血糖患者妊娠结局的研究

Pregnancy Outcomes of Mongolian Patients with Hyperglycemia during Pregnancy in Hulunbeir Area

目的统计呼伦贝尔地区妊娠期高血糖的患病率,分析蒙、汉民族之间患病差异性,分析孕妇妊娠期高血糖与妊娠结局的关系。方法在呼伦贝尔市某三级医院收集妇产科门诊初次就诊孕妇的空腹血糖(FBG)、糖化血红蛋白(HbA1c)筛查出妊娠期显性糖尿病患者,其余孕妇给予50g葡萄糖筛查实验(50gGCT),统计该地区妊娠期高血糖的患病率。对本院产科病房自愿入组的高血糖孕妇按民族分为汉族组和蒙古族组。统计分析两组妊娠期高血糖的患病率及两组妊娠结局的差异性。结果呼伦贝尔地区妊娠期显性糖尿病患病率2.79%,妊娠期糖尿病患病率为9.96%,妊娠期高血糖的患病率为12.75%,汉族、蒙古族50gGCT筛查阳性率比较并无统计学意义。统计分析结果显示蒙、汉两组妊娠期高血糖患者妊娠结局各项观察指标均无统计学意义。结论呼伦贝尔地区蒙、汉民族妊娠期高血糖患者妊娠结局无差异。

Objective To investigate the prevalence of hyperglycemia during pregnancy in Hulunbeir,analyze the differences between Mongolian and Han nationalities,and analyze the relationship between hyperglycemia during pregnancy and pregnancy outcomes.Methods Fasting blood glucose(FBG)and glycosylated hemoglobin(HbA1c)were collected from pregnant women in a tertiary hospital of Hulunbeier city.The other pregnant women were screened for gestational dominant diabetes mellitus by 50g glucose screening test(50g GCT),and the prevalence of GDM in this area was counted.Pregnant women with hyperglycemia voluntarily admitted to the obstetric ward of our hospital were divided into Han group and Mongolian group according to their ethnic groups.The prevalence of hyperglycemia during pregnancy and the difference of pregnancy outcome between the two groups were analyzed.Results The prevalence of gestational dominant diabetes mellitus was 2.79%,and the prevalence of gestational hyperglycemia was 12.75%.There was no significant difference in the positive rate of 50gGCT screening between Han and Mongolian nationalities.There was no significant difference in pregnancy outcome between Mongolian and Han women with hyperglycemia during pregnancy.Statistical analysis showed that there was no significant difference in pregnancy outcome between Mongolian and Han groups.Conclusion There was no difference in pregnancy outcome between Mongolian and Han nationalities in Hulunbeir area.