摘要
目的:调查聊城市属医院就医的妊娠期糖尿病(GDM)患者对GDM认知现状,分析不良妊娠结局影响因素.方法:选择2021-2023年聊城市属三所医院2982例GDM患者,调查GDM疾病认知状况,根据妊娠结局分为良好组和不良组,采用logistic回归分析影响GDM妊娠结局的相关因素.结果:2982例中知晓GDM者1263例(42.4%),不知晓1719例(57.7%);妊娠结局良好2088例(70.0%)、不良894例(30.0%);多因素分析显示,妊娠期血糖控制不佳(OR=2.580,95%CI1.813~3.671)、孕前体质指数较高(OR=1.805,95%CI1.224~2.661)、妊娠期体重增加大(OR=2.290,95%CI1.683~3.115)均为影响GDM患者不良妊娠结局的独立危险因素,多运动(OR=0.989,95%CI0.983~0.995)为保护因素(均P<0.05).结论:本次调查的GDM患者对自身疾病相关知识认知度较低,应加强患者的相关知识教育;妊娠期血糖控制不佳、孕前体质指数较高、妊娠期体重增加较大均为影响GDM患者发生不良妊娠结局的独立危险因素,而多运动为保护因素.提示临床应多关注以上因素患者,加强干预从而降低不良妊娠结局发生.
Objective:To investigate the cognitive status for gestational diabetes mellitus(GDM)of pregnant women from Liaocheng municipal hospital,and to analyze the influencing factors of the adverse pregnancy outcomes of these women.Methods:A total of 2982 pregnant women with GDM from three Liaocheng municipal hospitals were selected as the research objects between 2021 and 2023,and the cognition status for GDM of the women were investigated.Bacse on the pregnancy outcomes,these women were divided in to group A(womcn with normal pregnancy outcomes)and group B(women with adverse pregnancy outcomes).Logistic regression analysis was applied to analyze the related factors affecting the pregnancy outcomes of the women with GDM.Results:Among 2982 women with GDM,there were 1263(42.4%)cases were aware of GDM,and 1719(57.7%)cases were unaware of GDM.There were 2088(70.0%)cases in group A and 894(30.0%)cases in group B.Multivariate analysis showed that the poor glyccmic con-trol during prcgnancy(OR=2.580,95%CI:1.813-3.671),the higher pre-pregnancy body mass index(OR=1.805,95%CI:1.224-2.661),and themoreweight gain during prcgnancy(OR=2.290,95%CI:1.683-3.115)of the women with GDM were the independent risk factors of their adverse pregnancy outcomes,and the more excrcisc(OR=0.989,95%CI:0.983-0.995)of the women with GDM was a protective factor of their adverse pregnancy outcomes(all P<0.05).Conclusion:The pregnant women with GDM in this survey have the low awareness of their own GDM-rclatcd knowledge,and the relevant knowledge education for these women should be strengthened.The poor glyccmic control during pregnancy,the higher pre-pregnancy body mass index and the more weight gain during pregnancy of the women with GDM arc the independent risk factors for their adverse pregnancy outcomes,while the more exercise is a protective factor.It is suggested that the clinical staffs should be paid attention to the pregnant women with above factors and should strengthen intervention so as to reduce the incidence of the adverse pregnancy outcomes of the women.
作者
张静
岳家伊
程道静
张燕
张伟
ZHANG Jing;YUE Jiayi;CHENG Daojing;ZHANG Yan;ZHANG Wei(The Second People's Hospital of Liaocheng City,Shandong Province,252600;Liaocheng People's Hospital of Shandong Province;Liaocheng Dongchangfu District Maternal and Child Health Care Hospital)
出处
《中国计划生育学杂志》
2024年第1期15-19,共5页
Chinese Journal of Family Planning
关键词
妊娠期糖尿病
疾病认知
不良妊娠结局
影响因素
Gestational diabetes mcllitus
Disease cognition
Adverse pregnancy outcomes
Influence factor
