妊娠期糖尿病新标准的临床应用  

The clinical application of new standard of gestational diabetes mellitus

作　　者：周芹红[1] 梁茂芸[1] 程宁[1] 

机构地区：[1]安徽省池州市第二人民医院妇产科,247000

出　　处：《蚌埠医学院学报》2014年第1期61-63,共3页Journal of Bengbu Medical College

摘　　要：目的:探讨妊娠期糖尿病(GDM)新标准在临床上的实用性。方法:随机选取800例孕妇作为研究组,孕24周后,按新标准进行75 g口服葡萄糖耐量试验(OGTT);另随机选取750例孕24周后的孕妇作为对照组,先行50 g OGTT,糖筛异常者再行75 g OGTT。结果:研究组孕妇筛查率为97.50%,GDM患病率为6.25%;对照组孕妇筛查率为87.07%,GDM患病率为4.13%。研究组孕妇筛查率明显高于对照组(P<0.01),2组GDM患病率差异无统计学意义(P>0.05)。结论:GDM筛查新标准的应用,简化了筛查程序,临床应用更方便,筛查率高于传统筛查法,大大降低漏诊率。Objective：To investigate the clinical application of new standard of gestational diabetes mellitus （GDM）. Methods：Eight hundred pregnant women（study group） were tested by 75 g oral glucose tolerance test（OGT/＇） according to the new standard after 24 weeks of pregnancy. Seven hundred and fifty pregnant women（ control group） were tested by 50 g OGTr,then 75 g OGTr was added in the patients with sugar sieve abnormality after 24 weeks of pregnancy. Results：The pregnant women screening rate of study group （97.50%） was significantly higher than that in control group（87.07% ） （P 〈0.01 ）. The prevalence rate of GDM in study group and control group were 6.25% and 4.13%, respectively, the difference of which was not statistical significance （P 〉 0.05 ）. Conclusions： The screening rate of study group is better than that in control group,its prevalence rate of GDM increases according to new standard.

关 键 词：糖尿病 妊娠 新标准 葡萄糖耐量试验 孕期干预 

分 类 号：R714.25[医药卫生—妇产科学]