辽宁省农村孕妇妊娠糖尿病筛查阳性率及其危险因素分析.docVIP

GIP Chinee General Practice 2010年10月第13卷第108期 ·3309 · · 调 查 研 究 · 辽宁省农村孕妇妊娠糖尿病筛查阳性率及其危险因素分析 刁文丽，李志勤，于丽娅，王丁，杨晓玲，吴艳君，孟庆梅，王艳华，潘国伟 【摘要】 目的 了解辽宁省农村孕妇妊娠糖尿病筛查阳性率及其危险因素。方法 采用1h50g 葡萄糖筛查试 验 (GCT), 对辽宁省五县孕周为24～28周833名孕妇进行妊娠糖尿病筛查，血糖≥7.2 mmol/L 孕妇再进一步做口服 葡萄糖耐量试验 (OGTT)。结果 GCT 筛查阳性128人，阳性率为15.37%,其中28人(21.87%)进行OGTT。高龄 孕妇 [OR=2.71,95%CI(1.63,4.51)]、 糖尿病家族史 [OR=3.14,95%CI(1.04,9.54)] 和具有妊娠糖尿病患 病高危因素者 [OR=2.58,95%CI(1.39,4.79)] 是 GCT 阳性的危险因素(P0.05)。 结论 辽宁省农村妊娠糖尿 病 GCT 筛查阳性率达15.37%,但孕妇对妊娠糖尿病危害了解较少及对进一步诊断的积极性较低；高龄、有糖尿病家 族史及有妊娠糖尿病高危因素者为农村孕妇GCT 阳性的高危人群。 【关键词】 农村人口；筛查；糖尿病；妊娠 【中图分类号】 R587.1 【文献标识码】 A 【文章编号】1007-9572(2010)10-3309-02 Screening for Gestational Diabetes Meilitus in the Rural Area of Liaoning Province and Its Risk Factors DIAO Wen-li, L Zhi-qin,YU Li-ya, et al.The Institute of Chronic Disease, Center for Disease Control and Prerention of Liaoning Province, Shenyang 110005,China 【Abstract 】 Objective To understand the prevalence of gestational diabetes mellitus(GDM)in the rural area of Lia- oning Province and identify its risk factors. Methods A screening for GDM was conducted in 833 women at 24～28 gestational weeks by using a lh 50 g oral glucose challenge test(GCT) in five rural counties of Liaoning. The cutoff point was set at≥7.2 mmol/L. Women with a positive screening result were given a 75 g oral glucose tolerance test(OGTT). Results A total of 128 women(15. 37%)were GDM-positive by GCT,and 28 women (21.78%)further received OGTT. The risk factors of a posi- tive GCT included age [OR=2.71,95% CI(1.63,4.51)],family history of diabetes [ OR =3. 14,95% CI(1.04, 9.54)],and high risk factors of GDM [0R=2.58,95%CI(1.39,4.79)](P0.05). Conclusion The incidence of GDM-positive GCT is 15. 37% in the rural area of Liaoning province. However, the pregnant women in these areas have low awareness of GDM and lack the willingness for further diagnosis. Higher age, family history of dia