Rize İlinde Gestasyonel Diabetes Mellitus Prevalansı

GÜRLEK, BERIL; kale, ibrahim

Rize İlinde Gestasyonel Diabetes Mellitus Prevalansı

Beril GÜRLEK, (Recep Tayyip Erdoğan Üniversitesi)

İbrahim KALE (Sağlık Bakanlığı)

Jinekoloji-Obstetrik ve Neonatoloji Tıp Dergisi

3 2

Yıl: 2019 Cilt: 16 Sayı: 1 Sayfa Aralığı: 31 - 36 Metin Dili: Türkçe İndeks Tarihi: 03-02-2020

Rize İlinde Gestasyonel Diabetes Mellitus Prevalansı

Öz:

Amaç: Çalışmamızda, ülkemizin doğusunda bulunan Rize’de, tek merkezin verileri kullanılarak ‘The International Association of Diabetes andPregnancy Study Groups’ kriterlerine göre gestasyonel diyabetes mellitusprevalansını araştırmayı ve kriterlerin prevalansı nasıl etkilediğini ülkemizde yapılan diğer çalışmaları da derleyerek göstermeyi amaçladık.Gereç ve Yöntemler: Temmuz 2012 ve Nisan 2018 tarihleri arasında,Özel Şar Hastanesi ‘Kadın Hastalıkları ve Doğum bölümüne’ rutin gebeliktakipleri için başvuran 24-28 gebelik haftasındaki 19-51 yaş arasındakitüm gebeler hastanenin bilgisayar kayıt sistemleri aracılığıyla retrospektifolarak incelendi. Açlık plazma glukozu 126 mg/dl üzerinde olan, dahaönce diyabet tanısı alan ve kan glukoz düzeyini etkileyebileceği bilinen birendokrin hastalığı (Cushing hastalığı, Addison hastalığı, hipofiz yetmezliği, akromegali vs.) olan gebeler çalışmaya dahil edilmedi. ‘The International Association of Diabetes and Pregnancy Study Groups’ tarafındanönerilen tek basamaklı 75 gr oral glukoz tolerans testi ile taraması yapılanhastalar çalışmaya dahil edildi. Gestasyonel diyabetes mellitus prevalansıhesaplandı ve yaş gruplarına göre dağılımı incelendi.Bulgular: 3204 hastanın incelendiği bu çalışmada gestasyonel diyabetesmellitus prevalansı %27,9 bulundu. Gestasyonel diyabetes mellitusu olanhastaların yaş ortalamaları 33,78±5,50, sağlıklı hastaların yaş ortalamaları 31,84±4,96 olarak hesaplandı. Her iki grubun yaş ortalamalarıarasındaki fark istatistiksel olarak anlamlıydı (p=0,0001).Sonuç: Rize ilindeki gestasyonel diyabetes mellitus prevalansının ülkemizin diğer illerine oranla daha yüksek olduğu gösterilmiştir. Gestasyonel diyabetes mellitus, tüm dünyada ve ülkemizde gittikçe insidansı artan, hemmaternal hem de perinatal komplikasyonları açısından önemli bir sağlıksorunudur. Prevalansının düşürülerek maternal ve perinatal mortaliteninazaltılabilmesi için sağlıklı beslenme ve gebelikte egzersiz gibi yaşamkalitesini artıran acil ve etkili müdahalelerin hayata geçirilmesi gerekmektedir.

Anahtar Kelime:

Konular: Kadın Hastalıkları ve Doğum Pediatri

The Prevalence of Gestational Diabetes Mellitus Who were Admitted to a Single Center Private Hospital in Rize

Öz:

Aim: The aim of the study was to analyze the prevalance of gestational diabetes mellitus according to the International Association of Diabetes and Pregnancy Study Groups’ criterias using the data collected from a single department in Rize. Material and Methods: Computer records of the women who applied for the routine follow up between July 2012 and April 2018 to Şar Hospital, between the age of 19-51 and 24 to 28 weeks of pregnancy were analyzed retrospectively. Participants who has a higher fasting plasma glucose than 126 mg/dl, patients diagnosed with diabetes or an endocrine disease (Cushing’s disease, Addison’s disease, pituitary failure, acromegaly etc.) known to affect blood glucose levels were not included in the study. Patients who were screened with 75 gr oral glucose tolerance test were included in the study. The prevalance of the gestational diabetes mellitus and distribution according to age groups is calculated. Results: 3204 patients records were examined and prevelance of GDM was found 27,9%. The mean age of the GDM patients was 33,78 ±5,50. The mean age of the patients without GDM was 31,84±4,96. The difference between the mean age of the two groups was statistically significant in terms of GDM prevalence (p = 0.0001) Conclusion: It has been shown that the prevalence of GDM in Rize province is higher than the other provinces of our country. In order to reduce maternal and perinatal mortality by decreasing the prevalence of GDM, urgent and effective interventions should be implemented to improve quality of life such as healthy nutrition and exercise during pregnancy

Anahtar Kelime:

Konular: Kadın Hastalıkları ve Doğum Pediatri

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	GÜRLEK B, kale i (2019). Rize İlinde Gestasyonel Diabetes Mellitus Prevalansı. , 31 - 36.
Chicago	GÜRLEK BERIL,kale ibrahim Rize İlinde Gestasyonel Diabetes Mellitus Prevalansı. (2019): 31 - 36.
MLA	GÜRLEK BERIL,kale ibrahim Rize İlinde Gestasyonel Diabetes Mellitus Prevalansı. , 2019, ss.31 - 36.
AMA	GÜRLEK B,kale i Rize İlinde Gestasyonel Diabetes Mellitus Prevalansı. . 2019; 31 - 36.
Vancouver	GÜRLEK B,kale i Rize İlinde Gestasyonel Diabetes Mellitus Prevalansı. . 2019; 31 - 36.
IEEE	GÜRLEK B,kale i "Rize İlinde Gestasyonel Diabetes Mellitus Prevalansı." , ss.31 - 36, 2019.
ISNAD	GÜRLEK, BERIL - kale, ibrahim. "Rize İlinde Gestasyonel Diabetes Mellitus Prevalansı". (2019), 31-36.

APA	GÜRLEK B, kale i (2019). Rize İlinde Gestasyonel Diabetes Mellitus Prevalansı. Jinekoloji-Obstetrik ve Neonatoloji Tıp Dergisi, 16(1), 31 - 36.
Chicago	GÜRLEK BERIL,kale ibrahim Rize İlinde Gestasyonel Diabetes Mellitus Prevalansı. Jinekoloji-Obstetrik ve Neonatoloji Tıp Dergisi 16, no.1 (2019): 31 - 36.
MLA	GÜRLEK BERIL,kale ibrahim Rize İlinde Gestasyonel Diabetes Mellitus Prevalansı. Jinekoloji-Obstetrik ve Neonatoloji Tıp Dergisi, vol.16, no.1, 2019, ss.31 - 36.
AMA	GÜRLEK B,kale i Rize İlinde Gestasyonel Diabetes Mellitus Prevalansı. Jinekoloji-Obstetrik ve Neonatoloji Tıp Dergisi. 2019; 16(1): 31 - 36.
Vancouver	GÜRLEK B,kale i Rize İlinde Gestasyonel Diabetes Mellitus Prevalansı. Jinekoloji-Obstetrik ve Neonatoloji Tıp Dergisi. 2019; 16(1): 31 - 36.
IEEE	GÜRLEK B,kale i "Rize İlinde Gestasyonel Diabetes Mellitus Prevalansı." Jinekoloji-Obstetrik ve Neonatoloji Tıp Dergisi, 16, ss.31 - 36, 2019.
ISNAD	GÜRLEK, BERIL - kale, ibrahim. "Rize İlinde Gestasyonel Diabetes Mellitus Prevalansı". Jinekoloji-Obstetrik ve Neonatoloji Tıp Dergisi 16/1 (2019), 31-36.