60例糖尿病孕妇血糖检验结果分析  

Analysis of 60 Cases of Blood Glucose Test Results of Pregnant Women with Diabetes

作　　者：丁颖 

机构地区：[1]黑龙江省大庆市中医医院,163111

出　　处：《中国卫生标准管理》2015年第15期170-171,共2页China Health Standard Management

摘　　要：目的探讨糖尿病孕妇血糖筛查的方法,并分析其结果,总结糖筛查的意义。方法随机选取2011年1月至2015年3月期间在大庆市中医医院就诊的糖尿病孕妇60例,对全部患者进行口服50 g葡萄糖筛查,对于1 h后血糖≥7.8 mmol/L的进行OGTT试验。结果有27例空腹血糖异常,所占比例为45.0%,有40例1 h血糖异常,所占比例为66.7%,有38例2 h血糖异常,所占比例为63.3%,有10例3 h血糖异常,所占比例为16.7%,有58例有1项或多项血糖异常,所占比例为96.7%。本研究中的全部患者中有23例仅通过饮食控制,有20例通过饮食控制联合运动治疗,17例通过胰岛素治疗,血糖得到有效控制,最终顺利而安全分娩。结论 GDM对母婴危害大,孕妇必须进行糖尿病筛查,做到早诊断、早治疗,提高围产期的保健水平,降低孕妇围产期的各种并发症。Objective To investigate the blood glucose screening methods for pregnant women, analyze the results, and summarize the significance of blood glucose screening. Methods Sixty cases of pregnant women with diabetes treated in Daqing Hospital of TCM between January 2011 and March 2015 were randomly selected as objects. All patients were given an oral dose of 50g glucose for screening, and OGTT test was conducted for patients whose blood glucose ≥ 7.8mmol / L 1h thereafter. Results The fasting blood glucose levels of 27 cases were abnormal, accounting for 45.0% of the total amount of patients; the blood glucose levels of 40 cases after 1h were abnormal, accounting for 66.7%; the blood glucose levels of 38 cases after 2h were abnormal, accounting for 63.3%; the blood glucose levels of 10 cases after 3h were abnormal, accounting for 16.7%. Among all the 60 patients, there were 58 cases whose blood glucose levels tested at different times were abnormal more than once, and the proportion was 16.7%. Conclusion GDM does great harm to the mother and newborn, so diabetes screening must be conducted in pregnant women, so as to achieve the goal of early diagnosis, early treatment, and thus improve the level of perinatal care and reduce perinatal complications.

关 键 词：糖尿病孕妇 糖筛查 

分 类 号：R587.1[医药卫生—内分泌]