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妊娠糖尿病患者血清25(OH)D3水平及其相关因素分析

Keywords: 妊娠糖尿病,维生素D,血糖

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Abstract:

目的了解妊娠糖尿病(GDM)患者不同孕周血清25(OH)D3水平及其相关因素。方法2012年1月至2013年12月在宁夏医科大学总医院就诊的妊娠妇女433例,按照美国ADA标准进行糖尿病筛查,根据妊娠糖尿病诊断标准将孕妇分为正常妊娠(NGRG)组和GDM组。433例孕妇孕20~22周时进行血清25(OH)D3含量的检测,其中NGRG组36例、GDM组中42例动态检测孕20周、孕28周、孕36周时血清25(OH)D3水平,比较两组数据,并对相关因素采用Logistic回归分析。结果孕妇血清25(OH)D3水平均明显低于正常值(P0.05)。结论低维生素D状态在孕妇中普遍存在,GDM患者血清25(OH)D3水平降低更为明显。孕妇年龄、体重增加、基础体重指数、日照时间、空腹血糖、餐后1h血糖可能是GDM发生的危险因素。

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