糖尿病孕妇的症状性尿路感染、糖尿病类型及血糖控制的影响
Symptomatic Urinary Tract Infection in Diabetic Pregnant Women, Effect of the Type of Diabetes and Glycemic Control.
作者信息
Al-Bash Majeda R, Mathew Miriam, Al-Kharusi Lamia A, Abu-Heija Adel T
机构信息
Department of Obstetrics and Gynecology, Sultan Qaboos University Hospital, Al-Khodd, Muscat, Oman.
出版信息
Saudi J Med Med Sci. 2016 May-Aug;4(2):104-107. doi: 10.4103/1658-631X.178327. Epub 2016 Mar 9.
OBJECTIVES
To compare the prevalence of symptomatic urinary tract infection (S-UTI) in women with gestational diabetes mellitus (GDM), pregestational diabetes mellitus (PGDM), and the effect of glycemic control methods.
MATERIALS AND METHODS
This is a retrospective review of women with GDM and PGDM, who had S-UTI treated at Sultan Qaboos University Hospital between January 1, 2009, and December 31, 2010.
RESULTS
From a total of 639 women with diabetes mellitus (DM), 91% ( = 581) had GDM and 9% ( = 58) had PGDM. The prevalence of S-UTI was 6.7% ( = 43). The prevalence of S-UTI was 6.5% ( = 38) in women with GDM and 8.6% ( = 5) in women with PGDM. In women with GDM, S-UTI occurred in 4.6% ( = 5) of insulin users compared to 6.9% ( = 33) in noninsulin users. Differences were not statistically significant.
CONCLUSION
The prevalence of S-UTI is similar in women with GDM and PGDM regardless of the method used for glycemic control.
目的
比较妊娠期糖尿病（GDM）女性、孕前糖尿病（PGDM）女性中症状性尿路感染（S-UTI）的患病率以及血糖控制方法的效果。
材料与方法
这是一项对2009年1月1日至2010年12月31日期间在苏丹卡布斯大学医院接受治疗的患有S-UTI的GDM和PGDM女性进行的回顾性研究。
结果
在总共639名糖尿病（DM）女性中，91%（n = 581）患有GDM，9%（n = 58）患有PGDM。S-UTI的患病率为6.7%（n = 43）。GDM女性中S-UTI的患病率为6.5%（n = 38），PGDM女性中为8.6%（n = 5）。在GDM女性中，胰岛素使用者发生S-UTI的比例为4.6%（n = 5），非胰岛素使用者为6.9%（n = 33）。差异无统计学意义。
结论
无论采用何种血糖控制方法，GDM和PGDM女性中S-UTI的患病率相似。
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