妊娠期糖尿病高危孕妇血糖再筛选的价值  

Values of Blood Glucose Second Screening for Pregnant Women with Gestational Diabetes Mellitus High Risk Factors

作　　者：申玉红[1] 徐先明[1] 董玉英[1] 江明礼[1] 

机构地区：[1]上海交通大学附属第一人民医院,200080

出　　处：《医学研究通讯》2005年第7期26-27,47,共3页Bulletin of Medical Research

摘　　要：目的探讨妊娠晚期对高危人群血糖进行糖尿病再次筛查的价值。方法选择1999年7月～2001年6月在我院进行围生保健及分娩有糖尿病高危因素的74例孕妇,孕24～28周行50g 葡萄糖负荷试验(GCT),结果血糖均<7.8mmol/L;孕32～34周再次行 50g GCT。结果首次糖筛查均阴性者74人中妊娠晚期50g GCT 复查仍阴性者43人,阳性者31人;阳性者中葡萄糖耐量低减(GIGT)6人,妊娠期糖尿病(GDM)2人。50g GCT 阳性组新生儿病率明显高于阴性组,P<0.01,有统计学意义。结论妊娠晚期对高危人群血糖进行 GDM 再筛查与管理是必要的。Objective To investigate the value of blood glucose second screening for pregnant women with high risk factors of diabetes melli- tus in late pregnancy.Methods Selecting 74 cases pregnant women with high risk factors of diabetes mellitus who underwent perinatal care and delivered in our hospital from July 1997 to June 2001.50g oral glucose challenge test(GCT)was performed between 24～28 weeks of gesta- tion.The value of blood glucose were all<7.8mmol/L,and the GCT was performed again between 32～34 weeks of gestation.Results Of 74 cases whose first GCT were negative,there were 31 cases who were positive and 43 cases who were negative at the second 50g GCT.of 31 cases with positive resulf there were 6 cases were diagnosed as gestational impaired glucose tolerance(GIGT),2 cases were diagnosed as gestational diabetes mellitus(GDM).The morbidity of newborn of 50g GCT(+)group was obviously higher than that of 50g GCT(-)group(P< 0.01).Conclusions It is necessary that screen GDM at late pregnancy among the population with high risk factors of GDM.

关 键 词：妊娠期糖尿病 血糖 高危孕妇 价值 葡萄糖负荷试验 葡萄糖耐量低减 筛选 妊娠晚期 高危人群 2001年 1999年 高危因素 围生保健 方法选择 CT复查 GCT 阳性者 阴性 糖筛查 新生儿 统计学 GDM 再次 

分 类 号：R714.256[医药卫生—妇产科学] R587.1[医药卫生—临床医学]