摘要
目的分析妊娠期糖尿病产后42 d血糖转归及相关因素。方法从2018年6月—2019年6月择取200例妊娠期糖尿病产妇,以产后42 d血糖水平为依据将其分成两组,112名糖代谢正常产妇纳入对照组,88例糖代谢异常产妇纳入研究组,对两组血糖转归及相关因素予以对照分析。结果 200例妊娠期糖尿病患者中,产后42 d血糖正常112名,血糖异常88例,其中19例空腹血糖受损,占比为9.50%,25例糖耐量异常,占比为12.50%,16例空腹血糖受损且糖耐量异常,占比为8.00%,28例糖尿病,占比为14.00%。从孕前指标来看,两组年龄、孕前体质量指数对比差异有统计学意义(P<0.05);两组糖尿病家族史对比差异无统计学意义(P>0.05);从孕期指标来看,两组确诊孕周、总胆固醇、甘油三酯对比差异有统计学意义(P<0.05);两组空腹血糖、餐后2 h血糖、糖化血红蛋白、尿酸、出院前胰岛素使用剂量、低密度脂蛋白、高密度脂蛋白胆固醇对比差异无统计学意义(P>0.05)。可见年龄、孕前体质量指数、确诊孕周、总胆固醇、甘油三酯是血糖转归的主要影响因素。对年龄、孕前体质量指数、确诊孕周、总胆固醇、甘油三酯进行多因素回归分析,并对变量予以相互调整,发现年龄以及确诊孕周是血糖转归不良的独立危险因素,差异有统计学意义(P<0.05)。结论对于妊娠期糖尿病产后42 d产妇来说,年龄、确诊孕周、孕前体质量指数、孕期总胆固醇水平、孕期甘油三酯水平均是血糖转归的影响因素,特别是年龄以及确诊孕周,需要予以重视,促进产妇产后恢复。
Objective To analyze the 42-day postpartum blood glucose outcomes and related factors in gestational diabetes.Methods From June 2018 to June 2019,200 pregnant women with gestational diabetes were selected and divided into two groups based on the 42-day postpartum blood glucose level.112 women with normal glucose metabolism were included in the control group,and 88 women with abnormal glucose metabolism were included in the study group,and the blood glucose outcome and related factors of the two groups were analyzed.Results Of the 200 patients with gestational diabetes,112 had normal blood glucose at 42 days postpartum,and 88 had abnormal blood glucose,of which 19 had impaired fasting blood glucose,accounting for 9.50%,25 had abnormal glucose tolerance,accounting for 12.50%,and 16 impaired fasting blood glucose and abnormal glucose tolerance accounted for 8.00%,and 28 cases of diabetes accounted for 14.00%.In terms of pre-pregnancy indicators,there was a statistical difference in age and pre-pregnancy mass index between the two groups,P<0.05;there was no statistical difference in family history of diabetes between the two groups(P>0.05),total cholesterol,triglyceride comparisons were statistically different(P<0.05);fasting blood glucose,2 hours postprandial blood glucose,glycated hemoglobin,uric acid,insulin dosage before discharge,low density lipoprotein,high density lipoprotein cholesterol comparison had no statistical difference(P>0.05).It can be seen that age,pre-pregnancy mass index,confirmed gestational week,total cholesterol,and triglycerides were the main influencing factors of blood glucose outcome.Multivariate regression analysis was performed on age,pre-pregnancy mass index,confirmed gestational week,total cholesterol,and triglycerides,and the variables were adjusted to each other.Age and confirmed gestational week were independent risk factors for poor blood glucose outcome(P<0.05).Conclusion For 42-day postpartum women with gestational diabetes,age,confirmed gestational weeks,pre-pregnancy body mass index,total cholesterol levels during pregnancy,and triglyceride levels during pregnancy are factors that influence blood glucose outcomes,especially age and confirmed gestational weeks,attention needs to be paid to promoting postpartum recovery.
作者
梁桂英
卢玉珊
梁咏诗
LIANG Gui-ying;LU Yu-shan;LIANG Yong-shi(Maternal and Child Health Hospital of Sanshui District,Foshan,Guangdong Province,528100 China)
出处
《糖尿病新世界》
2020年第8期27-29,共3页
Diabetes New World Magazine
关键词
妊娠期糖尿病
产后42
d
血糖转归
相关因素
Gestational diabetes
42 days postpartum
Blood glucose outcomes
Related factors
