摘要
目的:探讨妊娠期糖尿病(GDM)合并感染的诱发因素,为临床制定防治干预措施提供依据。方法:通过查阅病历和问卷调查,对138例GDM患者发生感染的情况和部位进行分析,同时选择徐州市第一人民医院同期110例正常妊娠妇女进行对照,应用多元Logistic回归分析两组合并感染与孕周及血糖水平的关系。结果:GDM组感染发生率为63.77%,明显高于对照组的10.90%,差异有统计学意义(P<0.01),GDM患者多发生皮肤感染,血糖水平越高抗感染能力越弱,感染在孕中期发生率最高,产褥期发生感染最少,有7例在不同时期都出现过感染。结论:GDM患者较易感染,控制血糖、合理饮食、加强孕期卫生保健是预防感染的重要措施。
Objective：To explore the inducing factors of gestational diabetes mellitus（GDM） combined with infection,provide a basis for making preventive,therapeutic and interventional measures in clinic.Methods：The infection situation and sites of 138 patients with GDM were analyzed by consulting medical clinical records and questionnaire survey,at the same time,110 normal pregnant women were selected from the hospital as control group;multivariate logistic regression analysis was used to analyze the relationship between infection and gestational weeks,blood glucose level.Results：The incidence of infection in GDM group was 63.77%,which was significantly higher than that in control group（10.90%）（P0.01）,skin infection occurred in the most of the cases with GDM,the anti-infective ability decreased with the increase of blood glucose level,the incidence of infection during the second trimester of pregnancy was the highest,while the incidence of infection during puperium was the lowest,7 cases were found with infection at different periods.Conclusion：The patients with GDM are more vulnerable to infection,controlling blood glucose,proper diet and strengthening health care during pregnancy are important measures to prevent infection.
出处
《中国妇幼保健》
CAS
北大核心
2011年第28期4348-4349,共2页
Maternal and Child Health Care of China
关键词
妊娠期糖尿病
感染
影响因素
血糖控制
Gestational diabetes mellitus
Infection
Effect factor
Blood glucose control
