口服50克葡萄糖筛查妊娠期糖尿病1538例结果分析  

An analysis of the results of a 50g oral glucose screening test for gestational diabetes mellitus in 1538 cases of pregnant women

作　　者：申世芳[1] 吴北生[1] 刘玉洁[1] 张雅萍 刘静霞[2] 李淑葵[2] 

机构地区：[1]北京医科大学第一医院妇产科,100034 [2]北京医科大学第一医院检验科,100034

出　　处：《中国糖尿病杂志》1998年第4期216-218,共3页Chinese Journal of Diabetes

摘　　要：对在本院产前检查及分娩的1538例孕妇，行口服50g葡萄糖1小时筛查血糖，对其服糖后1小时结果≥7．20mmol／L或疑胎儿大于孕周的477例孕妇进行了口服75g葡萄糖耐量试验，结果显示OGTT异常者随筛查结果增高而增加。糖筛查结果〈7．20mmol／L者，无妊娠期糖尿病（GDM）发生，约占70％以上，可以不做OGTT；血糖结果在7．20～7．79mmol／L者，GDM占3．8％，这些孕妇都具有GDM的高危因素，故此段结果有GDM高危因素者应做OGTT；结果≥7．80mmol／L者应做OGTT。本组还指出了OR值较高的GDM高危因素。A random 50g 1 hour oral glucose screening test was given to 1538 pregnant women forgestational diabetes mellitus(GDM). Among them 477 pregnant women were given a 75g 3 hour glucosetolerance test (OGTT). The results of OGTT showed that women in screening test with blood glucose <7. 20mmol/L had no in >70. O% cases of 1538 GDM, OGTT need not be done. Those with blood glucosebetween 7. 20~ 7. 79mmol/L accounted for 3. 8% of GDM and had one or more high-risk factors forGDM, therefore, OGTT should be done, and also for those with glucose level ≥ 7. 8mmol/L. This papershowed the important high-risk factors for GDM..

关 键 词：妊娠期 糖尿病 口服葡萄糖筛查 高危因素 

分 类 号：R714.256[医药卫生—妇产科学]