妊娠24～28周空腹血糖并50克葡萄糖试验215例结果分析  

To analysis Fasting blood glucose and 50 grams of glucose test results of 215 cases with 24～28 weeks of pregnancy

作　　者：彭其才[1] 范建辉[1] 吴玲玲[1] 

机构地区：[1]中山大学附属第三医院产科,广州510630

出　　处：《中国实用医药》2010年第20期62-63,共2页China Practical Medicine

摘　　要：目的探讨空腹血糖(FBG)和50克葡萄糖试验(50gGCT)对妊娠期糖尿病(GDM)的筛查的意义。方法选择2009年1月至2009年10月在我院行产前检查并常规行50gGCT的孕妇215例,同时行空腹血糖检查,对筛查结果阳性者再行75g葡萄糖耐量试验(OGTT)。结果 FBG检查仅一例低血糖,余无异常。50gGCT筛查阳性69例,阳性率32.1%,OGTT后诊断GDM13例,GIGT21例。结论孕中期FBG检查对妊娠期糖尿病筛查无价值,联合50gGCT也未能检出GDM。50gGCT筛查阳性再行75gOGTT是确诊GDM的主要方法。50gGCT对GDM的及时发现和治疗具有重要意义,妊娠中期应作为常规检查项目。Objective To explore the fasting blood glucose（FBG）,and 50 grams of glucose test（50 g GCT） for gestational diabetes mellitus（GDM） screening significance.Methods From January 2009 to October 2009 in our hospital prenatal checks and routinely 50 g GCT of 215 cases of pregnant women,while fasting plasma glucose check,on the results of positive of screening,75 g glucose tolerance test（OGTT） .Results FBG Check showed only one cases of low blood sugar,more than normal.50 g GCT screening positive for 69 cases,the positive rate is 32.1%,OGTT after the diagnosis of GDM 13 cases,GIGT 21 cases.Conclusion The second trimester screening for gestational diabetes FBG is worthless checks,the joint 50 g GCT also failed to detected GDM.50 g GCT screening test re-75 g OGTT confirmed GDM is the main method.50 g GCT of GDM timely detection and treatment of great significance to mid-gestation as a routine test items should be.

关 键 词：空腹血糖 葡萄糖筛查 妊娠期糖尿病 

分 类 号：R714.25[医药卫生—妇产科学]