陈芮 李淑云 陈玉娇

    【摘要】 目的：探讨高龄产妇发生妊娠期糖尿病(GDM)的相关危险因素。方法：回顾性分析2018年1月-2020年3月本院收治的89例高龄产妇的临床资料，按照其是否发生GDM分为GDM组(n=17)和非GDM组(n=72)。分析高龄产妇发生GDM的相关危险因素。结果：89例高龄孕妇中发生GDM的有19.10%(17/89)。两组孕前BMI、糖尿病家族史、血红蛋白、日常运动量、睡眠时间、FPG比较，差异均有统计学意义(P<0.05)。两组年龄、文化程度、既往代谢疾病史、流产次数比较，差异均无统计学意义(P>0.05)。多因素logistic回归分析显示，孕前BMI≥24 kg/m2、糖尿病家族史、血红蛋白≥130 g/L、日常运动量<1 h/d、睡眠时间<7 h/d、空腹血糖(FPG)≥6.1 mmol/L是高龄产妇发生GDM的高危因素(P<0.05)。结论：高龄产妇发生GDM是多种因素共同作用结果，临床需针对各危险因素制定相应的干预措施，以降低GDM发生率。

    【关键词】 妊娠期糖尿病 高龄产妇 空腹血糖

    Related Risk Factors of Gestational Diabetes Mellitus in Elderly Parturient Analysis/CHEN Rui， LI Shuyun， CHEN Yujiao. //Medical Innovation of China， 2021， 18(31)： -154

    [Abstract] Objective： To explore the related risk factors of gestational diabetes mellitus (GDM) in elderly parturient. Method： The clinical data of 89 elderly parturient admitted to our hospital from January 2018 to March 2020 were retrospective analyzed. They were divided into GDM group (n=17) and non-GDM group (n=72) according to whether they had GDM. Analyzed the risk factors of GDM in elderly parturient. Result： GDM occurred in 19.10% (17/89) of 89 elderly parturient. There were statistically significant differences in pre-pregnancy BMI ......