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-  2018 

多囊卵巢综合征与妊娠期糖尿病的相关性 Relationship Between Polycystic Ovary Syndrome and Gestational Diabetes Mellitus

Keywords: 多囊卵巢综合征,妊娠期糖尿病,经阴道超声

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Abstract:

目的:探讨孕前多囊卵巢综合征(PCOS)与妊娠期糖尿病(GDM)之间的关系。方法:收集并追踪2009年1月-2016年1月门诊及住院检查患者数据用于这项研究。采用比值比(OR)为危险因素,结果采用卡方检验及Logistic回归分析调整。结果:PCOS的妇女GDM发生率比非PCOS史的高(23.09%比11.48%,P<0.01),Logistic回归分析显示,妊娠前PCOS患者GDM发生率比非PCOS妇女高(OR=2.08;95%CI:1.88-2.30)。对于药物治疗多囊卵巢综合征,在药物治疗和非药物治疗亚组之间GDM的发展差异无显著性(21.78%比19.20%,P>0.05)。药物治疗和非药物治疗亚组(OR=1.20;95%CI:0.87-1.58)。结论:PCOS史是发展为GDM的一个独立的危险因素;多囊卵巢综合征患者在妊娠前使用药物治疗并不能减少GDM的风险

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