1403例妊娠期糖尿病的筛查结果分析及临床意义  

Analysis of the results and clinical significance of 1403 cases of gestational diabetes screening

作　　者：冯春龙[1] 罗航[1] 单珊[1] 彭康胜[1] 郭慧欣[1] 谢珺超 肖元元[1] 

机构地区：[1]同济大学附属同济医院心内科

出　　处：《医药与保健》2014年第2期1-2,共2页Medicine and Health Care

摘　　要：目的 分析1403例妊娠期糖尿病（GDM）筛查结果及其相关临床意义.方法 对1403例孕前无糖尿病的孕妇于孕26周时进行50g葡萄糖筛查试验,对于阳性者进一步做75g葡萄糖耐量试验,并检测BMI指数,将孕妇各项检查数据记录在案.结果 妊娠期糖尿病的发病率为3.14％,年龄＞35岁者GDM的发生率为4.95％,随年龄的增长患GDM的风险加大;肥胖组孕妇发生GDM几率远高于非肥胖组,肥胖对妊娠期糖尿病的发生有影响;妊娠期糖尿病会导致巨大儿发生率增加.结论 妊娠期糖尿病筛查对诊断妊娠期糖尿病具有十分重要临床意义,对控制孕期体重及防止出现巨大儿意义的作用,是对危险因素进行早期干预的基础.Objective Analyze the relationship between age and BMI and gestational diabetes mellitus （GDM） and the effect of GDM on the incidence of giant baby. Methods Screen 1403 pregnant women without diabetes mellitus before pregnancy and have a test about 50 grams of glucose screening at 26 weeks of pregnant, and the positive should further do 75g oral glucose tolerance test, and record the inspection data of the women. Results The incidence of gestational diabetes mellitus is 3.14%,the incidence of diabetic whose Age is greater than 35 years is 4.95%.With the growth of age, the risk suffering from GDM is on the increase; the incidence of GDM of pregnant women in the Obesity group is much higher than non-obese group. Obesity have an effect on the incidence of GDM. And GDM will lead to an increase on the incidence of giant baby. Conclusion Further to define the necessity of screening for GDM and make early intervention for risk factors and face the effective treatment, it has great benefit to pregnant women and fetal infants.

关 键 词：孕妇妊娠期糖尿病 筛查 

分 类 号：R714.25[医药卫生—妇产科学]