摘要
目的了解新疆阿合奇县孕妇的妊娠期糖尿病（gestational diabetes mellitus, GDM）患病情况，旨在该地区推广GDM的筛查和诊断工作，降低GDM的不良结局。方法按照2010年国际糖尿病与妊娠研究组（International Association of Diabetic Pregnancy Study Group, IADPSG）推荐的方法和标准，对孕24～28周的410例产检孕妇进行75g葡萄糖耐量试验（oral glucose tolerance test, OGTT）。对本地区的GDM患病率进行统计，比较分析不同民族、不同年龄段和不同孕前身体质量指数的发病情况。结果本地区GDM的总患病率5．12％，柯族患病率为4．72％，汉族患病率为10．81％，柯、汉民族问患病率无显著性差异（P〉0．05）。GDM的患病率随年龄的增长而上升、随患者孕前身体质量指数的增高而上升，两者差异均有统计学意义（P〈0．05）。结论在边疆少数民族地区推广新的GDM诊断方案及标准，可简单、有效的筛查出GDM患者。对少数民族育龄期妇女应加强妊娠前咨询，宣传GDM相关知识，切实做好GDM的预防工作，可减少围生期并发症及孕母和子代的远期代谢紊乱，提高当地人口素质。
Objective To investigate the GDM in Akeqi country in Xinjian. The screening method of gestational diabetes mellitus （GDM） should be popularized in this area and the adverse outcomes of GDM should be reduced by studying the prevalence of GDM. Methods Oral glucose tolerance test （OGTT） has been done to 410 pregnant women of 24 - 28 weeks according to the methods and standard recommended by International Association of Diabetic Pregnancy Study Group （IADPSG）, 2010. The local incident of GDM and the prevalence of different ages, different weights, different races have been analysed. Results The local incident of GDM is 5. 12%; There is statistical difference in OGTT abnormality （ P 〈 0.05 ）, which increase with age, pre-pregnancy weight index. There is no significant difference in prevalence between Ke（4.72% ） and Han（ 10.81% ） （P 〉0.05） Conclusion New GDM diagnosis methods and standards should be popularized in border areas to screen for GDM patients simply and effectively. GDM prevention knowledge should be strengthened for the pre-pregnancy to ruduce the perinatal complications and long-term metabolicdisorder of pregnant women and offspring and raise local population quality.
出处
《同济大学学报（医学版）》
CAS
2013年第6期123-126,共4页
Journal of Tongji University(Medical Science)
基金
新疆克州科学技术委员会科研计划项目(克科字2013-13-28)
