妊娠糖尿病的危险因素:从电子医疗记录中探索
Chitkamon Srichomphoo1, Chonticha Nohbu1, Nor-Armeero Wa-Ebasu1
1Faculty of Health and Sports Science, Thaksin University Phatthalung Campus, Thailand.
Studies in health technology and informatics
|July 1, 2025
概括
孕期糖尿病影响了泰国21.88%的孕妇. 关键的风险因素包括先进的孕产妇年龄,职业和先前存在的药物使用,突出了针对性干预的需要.
科学领域:
- 产科和妇科 产科和妇科
- 内分泌学 在内分泌学.
- 公共卫生 公共卫生
背景情况:
- 孕期糖尿病 (GDM) 是怀孕的一个严重并发症.
- 早期发现和治疗GDM对于母亲和胎儿的健康至关重要.
- 了解区域患病率和风险因素可以为有针对性的公共卫生战略提供信息.
研究的目的:
- 为了确定妊娠期糖尿病的患病率.
- 在特定的泰国人口中确定与GDM相关的关键风险因素.
- 为开发GDM预防和管理的有效干预措施提供信息.
主要方法:
- 横截面研究设计. 截面研究设计.
- 包括521名接受产前护理的孕妇.
- 从电子健康记录 (HOSxP) 提取数据,包括人口统计,生物化学数据和查结果.
- 二元物流回归分析用于风险因素识别.
主要成果:
- 妊娠期糖尿病的患病率为21.88%被观察到.
- 确定了重要的危险因素:母亲的晚年 (adj.OR = 0.10),职业 (adj.OR = 0.47) 和之前的药物使用 (adj.OR = 10.66).
- 对所有确定的风险因素 (p < 0.05) 确定了统计学意义.
结论:
- 孕期糖尿病在研究地区构成了相当大的公共卫生挑战.
- 母亲的年龄,职业和药物史是GDM风险的关键指标.
- 针对性干预对于高风险群体至关重要,以减少GDM发病率并改善结果.
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