摘要
目的探讨每日睡眠时间与高龄产妇妊娠期糖尿病发病风险的关系。方法选取2021年12月至2023年12月濮阳市妇幼保健院收治的高龄产妇280例,收集产妇的睡眠时长,根据产妇是否为妊娠期糖尿病进行分组,分析每日睡眠时间与高龄产妇妊娠期糖尿病发病风险的关系。结果两组产妇在孕前BMI、流产史、是否为首次妊娠、糖尿病家族史方面相比,差异有统计学意义(P<0.05);妊娠期糖尿病组每日睡眠时间<7 h、7~9 h患者例数占比高于非妊娠期糖尿病组,差异有统计学意义(P<0.05);根据孕前BMI、焦虑状态与抑郁状态开展分层分析,调整其余混杂因素后显示,孕前BMI与每日睡眠时间对妊娠期糖尿病发病风险的影响存在交互作用(P<0.05),每日睡眠时间>9h为高龄产妇妊娠期糖尿病发病的保护因素,差异有统计学意义(P<0.05)。结论每日睡眠时间与高龄产妇妊娠期糖尿病发病风险存在一定的关联,通过增加高龄产妇的睡眠时间,可一定程度降低其妊娠期糖尿病的发病风险。
Objective To explore the relationship between the daily sleep time and the risk of diabetes in pregnancy in elderly women.Methods 280 elderly parturients admitted to Puyang Maternal and Child Health Hospital from December 2021 to December 2023 were selected to collect their sleep time.They were grouped according to whether the parturients were pregnant with diabetes,and analyzed the relationship between daily sleep time and the risk of pregnancy diabetes in elderly parturients.Results There were significant differences in BMI before pregnancy,abortion history,whether it was the first pregnancy,and family history of diabetes between the two groups (P<0.05);The proportion of patients with daily sleep time<7 h and 7~9 h in gestational diabetes group was higher than that in non-gestational diabetes group (P<0.05);Hierarchical analysis was carried out according to the pre pregnancy BMI,anxiety state and depression state.After adjusting other confounding factors,it was shown that there was an interaction between the pre pregnancy BMI and the daily sleep time on the risk of diabetes in pregnancy(P<0.05).The daily sleep time>9 h was the protective factor for the incidence of diabetes in pregnancy in elderly women(P<0.05).Conclusion There is a certain correlation between the daily sleep time and the risk of diabetes in pregnancy of elderly women.By increasing the sleep time of elderly women,the risk of diabetes in pregnancy can be reduced to a certain extent.
作者
金守杰
孙秀丽
崔悠然
JIN Shoujie;SUN Xiuli;CUI Youran(Clinical Nutrition Department,Puyang Maternal and Child Health Hospital,Puyang Henan 457000,China;Department of Obstetrics and Gynecology,Puyang Maternal and Child Health Hospital,Puyang Henan 457000,China;Department of Pathology,Puyang Maternal and Child Health Hospital,Puyang Henan 457000,China)
出处
《临床研究》
2024年第5期93-96,共4页
Clinical Research
