154例妊娠糖尿病孕妇葡萄糖耐量试验结果分析  

Analysis on the characteristics of oral glucose tolerance test of 154 cases with gestational diabetes mellitus

作　　者：张少燕[1] 辛萍[1] 田清武[1] 田润华[1] 

机构地区：[1]青岛大学医学院附属医院检验科,山东青岛266003

出　　处：《医学检验与临床》2007年第3期63-64,共2页Medical Laboratory Science and Clinics

摘　　要：目的 探讨妊娠糖尿病(gestafional diabetes malliths,GDM)孕妇口服葡萄糖耐量试验(oral gthcose tolerance test,OGIT)的特点,分析父对GDM的诊断价值.方法 对孕24～28周孕妇口服50g葡萄糖进行筛查,1小时血糖≥7.8mmol/L.者进行OGTT试验.结果 154例GDM孕妇中80例(51.9%)空腹血糖异常,132例(85.7%)孕妇1h血糖异常,111例(71.4%)孕妇2h血糖异常,只有35例(21.7%＞的孕妇3h血糖异常,其中33例(94.3%)伴有另外1项或者3项血糖异常.结论 口服葡萄糖耐量试验中,取消3h血糖的检测对孕妇GDM的诊断影响甚微.Objective To alyze the charactcristics of oral gluscose tolergnee test(OGTT)in women with gestational diabetes mallitus(GDM),and to evaluate the value of OGTY to the diagnosis on GDM.Mesthods Fimt let the pregnant women of 24～28 weeks have the 50g glucose challenge test(50gGCT),then let the women those plasma glucose leve ≥7.8mmol/L have 75g OGTT.Results Among 154 cases of GDM,there were 80 cases(51.9%) with abnormal fasting plasma glucose value,132 cases(85.7%) with abnormal 1 hr plasma glucose value.111 cases(71.4%) with abnortrmal 2hr plasma glucose value.There were only 35 cases(22.7%) with other 2 or 3 values of OGTT were abnormal.Conclusion There is only ltitle influence to diagnosis on GDM if omit the third-hour plasma glucose value.

关 键 词：妊娠糖尿病 葡萄糖耐量试验 

分 类 号：R714.25[医药卫生—妇产科学] R446.1[医药卫生—临床医学]