2014~2019年新郑市妊娠期糖尿病发病趋势调查

Survey on the Incidence Trend of Gestational Diabetes in Xinzheng City From 2014 to 2019

目的对2014~2019年新郑市妊娠期糖尿病(GDM)发病趋势进行调查,为做好患者管理提供科学依据。方法选择新郑市两家医院,通过病例查询系统和新生儿出生登记簿获得医院2014~2019年住院分娩总例数及GDM例数,统计每年GDM发生率,观察其变化趋势,并分析GDM发病特点。结果 2014~2019年调查的25448例孕妇中,GDM为782例。2014~2019年每年GDM发病率依次为2.36%、2.40%、2.90%、3.27%、3.58%、3.92%。2014~2019年GDM孕妇不同年龄段构成比差异无统计学意义(P>0.05),但可见≥35岁GDM孕妇占比呈升高趋势。2016年、2017年、2018年、2019年GDM孕妇确诊时间早于2014年(P<0.05),2017年、2018年、2019年GDM孕妇确诊时间早于2015年(P<0.05),2019年GDM孕妇确诊时间早于2016年(P<0.05),GDM孕妇确诊时间呈提前趋势。结论 2014至2019年新郑市GDM发病呈升高趋势,≥35岁GDM孕妇占比、GDM孕妇确诊时间分别呈升高、提前趋势。

Objective To investigate the incidence trend of gestational diabetes(GDM)in Xinzheng City from 2014 to 2019,so as to provide a scientific basis for patient management.Methods Select two hospitals in Xinzheng City,obtain the total number of hospitalized deliveries and the number of GDM cases from 2014 to 2019 through the case query system and the newborn birth register,count the annual incidence of GDM,observe its change trend,and analyze GDM onset characteristics.Results:Among the25,448 pregnant women surveyed from 2014 to 2019,782 cases were GDM.Results Among 25,448 pregnant women surveyed from 2014 to 2019,782 cases were GDM.The annual incidence of GDM from 2014 to 2019 was 2.36%,2.40%,2.90%,3.27%,3.58%,and 3.92%.There was no significant difference in the composition ratio of GDM pregnant women in different age groups from2014 to 2019(P>0.05),but it can be seen that the proportion of GDM pregnant women ≥35 years old increased.The diagnosis time of pregnant women with GDM in 2016,2017,2018,and 2019 was earlier than 2014(all P<0.05),and the diagnosis of GDM pregnant women in 2017,2018,and 2019 was earlier than 2015(all P<0.05),2019 The diagnosis time of pregnant women with GDM in2016 was earlier than 2016(P<0.05),the diagnosis time of pregnant women with GDM showed an advance trend.Conclusion From2014 to 2019,the incidence of GDM in Xinzheng City showed an increasing trend.The proportion of pregnant women with GDM ≥35 years old and the time of diagnosis of GDM pregnant women respectively showed an upward trend and an earlier trend.