糖筛查和糖耐量试验诊断妊娠期糖尿病的效果比较  

Comparison of application of glucose challenge test and oral glucose tolerance test in gestational diabetes mellitus

作　　者：陈秀莲[1] 李祥顺[1] 黄梅霞[1] 林丽琴[1] 

机构地区：[1]茂名市妇幼保健院检验科,广东茂名525000

出　　处：《中国热带医学》2010年第4期479-480,共2页China Tropical Medicine

摘　　要：目的比较葡萄糖筛查试验和葡萄糖耐量试验诊断妊娠期糖尿病的效果。方法对知情自愿孕妇施行葡萄糖筛查试验,筛查阳性者再施行葡萄糖耐量试验。结果葡萄糖筛查试验检查681例孕妇,得到阳性78人,阳性率为11.45%;78人再施行葡萄糖耐量试验,得到阳性65人,阳性率为9.54%,占筛查阳性人数的83.33%。两种试验在妊娠期糖尿病检出率中的差别无统计学意义(χ2=1.32,P=0.25,P>0.05)。结论葡萄糖筛查试验对妊娠期糖尿病有较好检出率,是一种可以全面普及的简单易行的妊娠期糖尿病检查方法。Objective To compare the results of glucose challenge test and oral glucose tolerance test.in diagnosis of gestational diabetes mellitus. Methods The informed content glucose challenge test and oral glucose tolerance test were carried out in voluntary pregnant women after positive screening and the results were analyzed. Results Glucose challenge test was conducted on 681 pregnant women and 78 of them were positive for gestational diabetes mellitus with a positive rate of 11.45%; then oral glucose tolerance test was performed in the 78 positives and 65 of them were positive for gestational diabetes mellitus with the positive rate of 9.54% （ 83.33% ）, without showing statistically significant differences between the two tests （χ^2=1.32,P=-0.25 ,P〉0.05 ）. Conclusions The detection rate of glucose challenge test in diagnosis of gestational diabetes mellitus is high and it is simple and practicable for clinical purpose.

关 键 词：葡萄糖筛查试验 葡萄糖耐量试验 妊娠期糖尿病 检出率 

分 类 号：R587.1[医药卫生—内分泌]