妊娠期妇女睡眠质量与妊娠期糖尿病的关联性OA
Association Between Sleep Quality and Gestational Diabetes Mellitus in Pregnant Women
目的:分析妊娠期妇女睡眠质量与妊娠期糖尿病(GDM)的相关性.方法:选取2023年6月至2025年6月苏州明基医院妇产科收治的妊娠期妇女120例作为研究对象,根据是否存在GDM分为非GDM组(n=68)和GDM组(n=52).比较2组的匹兹堡睡眠质量指数量表(PSQI)得分情况、影响GDM的危险因素.结果:非GDM组与GDM组孕次、孕前BMI、睡眠质量比较,差异有统计学意义(P<0.05);61.67%孕妇自认睡眠质量较好,75.83%孕妇夜间睡眠达7 h及以上,68.33%睡眠效率超85%,非GDM组睡眠质量佳、夜晚睡眠7~9 h占比均高于GDM组,差异有统计学意义(P<0.05);多因素回归显示孕次、孕前BMI、睡眠质量为GDM独立危险因素.结论:孕次、孕前BMI和睡眠质量是影响GDM发生的危险因素,妊娠期通过对上述指标进行干预可以降低GDM的发生概率.
Objective:To analyze the association between sleep quality and gestational diabetes mellitus(GDM)in pregnant women.Methods:A total of 120 pregnant women admitted to Suzhou BenQ Medical Center from June 2023 to June 2025 were se-lected as the study subjects.According to the presence of GDM,they were divided into a non-GDM group(n=68)and a GDM group(n=52).The Pittsburgh Sleep Quality Index(PSQI)scores and risk factors affecting GDM were compared between the two groups.Results:There were statistically significant differences between the non-GDM group and the GDM group in gravidity,pre-pregnancy body mass index(BMI),and sleep quality(P<0.05).Overall,61.67%of pregnant women reported good sleep quali-ty,75.83%had nighttime sleep duration of≥7 h,and 68.33%had sleep efficiency above 85%.The proportions of good sleep quality and 7 to 9 h nighttime sleep were higher in the non-GDM group than in the GDM group,with statistically significant differ-ences(P<0.05).Multivariate regression analysis showed that gravidity,pre-pregnancy BMI,and sleep quality were independent risk factors for GDM.Conclusion:Gravidity,pre-pregnancy BMI,and sleep quality are important risk factors for GDM.Interventions targeting these factors during pregnancy may help reduce the incidence of GDM.
杨霈馨;石爱美
苏州明基医院妇产科,苏州,251000苏州明基医院妇产科,苏州,251000
医药卫生
睡眠质量妊娠期糖尿病孕次体质量指数
Sleep qualityGestational diabetes mellitusGravidityBody mass index
《世界睡眠医学杂志》 2026 (1)
21-24,4
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