462022Vol.9No.11ElectronicJournalofPracticalGynecologicalEndocrinology•论著•孕前体质量指数及孕期增重与妊娠期糖尿病的相关性分析周金嫦（广西壮族自治区民族医院产科，广西南宁530000）【摘要】目的探讨孕前体质量指数及孕期增重与妊娠期糖尿病的相关性。方法选择本院接收的产检孕妇113例为研究对象，按照是否并发糖尿病分为妊娠期糖尿病组30例和非妊娠期糖尿病组83例，分析两组患者的一般资料、孕次、产次、孕前体质量指数、孕期增重、糖尿病家族史，单因素分析妊娠期糖尿病的危险因素，对单因素显著的危险因素采取Logistic多因素回归分析。结果妊娠期糖尿病组患者的孕前超重率为40.00%、肥胖率为16.67%，孕期体质量过高增长率为56.67%，合并糖尿病家族史率60.00%，均显著高于非妊娠期糖尿病组的14.46%、13.25%、24.10%、20.48%，差异有统计学意义（P＜0.05）；两组的年龄、孕次、产次比较，差异无统计学意义（P＞0.05）。多因素Logistic回归分析显示，孕前超重、孕前肥胖、孕期体质量过高增长、合并糖尿病家族史为妊娠期糖尿病的危险因素（P＜0.05）。结论妊娠期糖尿病与年龄、孕次、产次无明显关系，合并糖尿病家族史、孕前超重及肥胖、孕期体质量增长过高则为引发妊娠期糖尿病的危险因素，需重视对该类孕妇的监护及体质量控制，保证母婴健康。【关键词】妊娠期糖尿病；孕前体质量指数；孕期增重；糖尿病家族史；危险因素Correlationanalysisofpre-pregnancybodymassindex,weightgainduringpregnancyandgestationaldiabetesmellitusZhouJinchang(DepartmentofObstetrics,GuangxiZhuangAutonomousRegionEthnicHospital,Nanning530000,China)【Abstract】ObjectiveToinvestigatethecorrelationbetweenpre-pregnancybodymassindex,weightgainduringpregnancyandgestationaldiabetesmellitus.MethodsAtotalof113pregnantwomenwhoreceivedobstetricexaminationsinourhospitalwereselectedastheresearchobjects.Theyweredividedintothegestationaldiabetesgroup(30cases)andthenon-gestationaldiabetesgroup(83cases)accordingtowhethertheywerecomplicatedwithdiabetes.Thegeneraldata,parity,prepregnancybodymassindex,weightgainduringpregnancyandfamilyhistoryofdiabetesinthetwogroupswereanalyzed.Theriskfactorsofgestationaldiabeteswereanalyzedbyunivariateanalysis.Logisticmultivariateregressionanalysiswasusedtoanalyzethesi...
