妊娠期糖尿病筛查中糖化血红蛋白值的临床意义  

Clinical significance of glycosylated hemoglobin in screening gestational diabetes mellitus

作　　者：李刚[1] 

机构地区：[1]江苏省淮安市妇幼保健院产科,223002

出　　处：《中国实用医刊》2017年第24期69-71,共3页Chinese Journal of Practical Medicine

摘　　要：目的 探讨血清糖化血红蛋白在妊娠期糖尿病（GDM）患者中的意义.方法 选取在医院确诊为妊娠期糖尿病孕妇100例及正常孕妇100例,对以上所有孕妇实施口服葡萄糖耐量试验（OGTT）检查的同时行糖化血红蛋白检查,分析结果.结果 糖化血红蛋白〉6％者GDM诊断基本明确,但有一定漏诊率.〉5.5％者GDM可能性大,需行OGTT检查进一步明确诊断.〈5％者GDM可能性较小.结论 糖化血红蛋白可以成为GDM筛查的一种诊断方法,有一定的临床意义.Objective To investigate the clinical significance of glycosylated hemoglobin in screening gestational diabetes mellitus（GDM）. Methods A total of 100 pregnant women with gestational diabetes mellitus and pregnant women 100 normal were enrolled in our hospital,HbA1c and OGTT was administered to all subjects at the same time. Results The GDM diagnosis is clear in patients with Hba1c 〉 6%,but there is certain missed rate. The possibility of GDM is higher in patients with Hba1c〉5. 5%,but OGTT examination is required to further confirm the diagnosis. The possibility of GDM is small in patients with Hba1c 〈 5% . Conclusions Glycosylated hemoglobin can be used as a diagnostic method for GDM screening,and it has certain clinical significance.

关 键 词：妊娠期糖尿病 糖化血红蛋白 筛查 

分 类 号：R714.256[医药卫生—妇产科学]