目的 研究高龄产妇妊娠期糖尿病的发病情况，并对妊娠期糖尿病的影响因素进行 Logistic 分析。方法? 选取 2017 年 7 月至 2020 年 2 月江南大学附属医院收治的 180 例高龄产妇，均检测血糖指标，收集病历资料，进而统计高龄产妇妊娠期糖尿病发病情况，对妊娠期糖尿病的影响因素进行 Logistic 分析。结果? 180 例高龄产妇中，妊娠期糖尿病发病率 18.89%；发生妊娠期糖尿病者孕前体质量指数（BMI）较高、孕期增重较多，流产次数≥ 2 次、糖尿病家族史、喜食甜食、焦虑及高血红蛋白血症所占比例均较未发生妊娠期糖尿病者高，日运动量≥ 1 h 所占比例较低（P ＜ 0.05）；经 Logistic 多因素分析，孕前 BMI、孕期增重、流产次数≥ 2 次、糖尿病家族史、喜食甜食、焦虑及高血红蛋白血症为高龄产妇妊娠期糖尿病发生的危险因素（OR ＞ 1，P ＜ 0.05）；日运动量≥ 1 h 是高龄产妇妊娠期糖尿病发生的保护因素（OR ＜ 1，P ＜ 0.05）。结论? 孕期增重、糖尿病家族史、喜食甜食等是高龄产妇妊娠期糖尿病发生的危险因素，日运动量≥ 1 h 为保护因素，有助于预防措施的制定。
Objective? To study the incidence of gestational diabetes in women of advanced maternal age and to perform Logistic analysis of the contributing factors. Methods? A total of 180 elderly pregnant women admitted to Affiliated Hospital of Jiangnan University from July 2017 to February 2020 were selected. All of them were tested for blood glucose indicators，medical record data were collected，and then the incidence of gestational diabetes of advanced maternal age was counted，Logistic analysis was performed for the influencing factors of gestational diabetes. Results? Among the 180 elderly women，the incidence of gestational diabetes was 18.89%. The pre-pregnancy quality index（BMI），high pregnancy weight gain，abortion frequency≥2 times，family history of diabetes，eating sweets，anxiety and hyperhemoglobinemia are all worse than those without gestational diabetes.The proportion of high and daily exercise≥1 h was lower（P＜0.05）. Logistic multivariate analysis，prepregnancy BMI，weight gain during pregnancy，≥2 times of abortion were risk factors for gestational diabetes in older women（OR＞1，P＜ 0.05）；the daily exercise volume ≥1 h was the protective factor for the occurrence of gestational diabetes in elderly women（OR＜1，P＜0.05）. Conclusion Pregnancy weight gain，family history of diabetes，and eating sweets are risk factors for gestational diabetes in older women. The daily exercise volume≥1 h is a protective factor and contributes to the development of preventive measures.