门诊孕妇糖耐量试验方法和影响因素分析  

Glucose Tolerance Test Methods and Influencing Factors of Pregnant Women

作　　者：王美仁 章慧燕 WANG Mei-ren;ZHANG Hui-yan(Blood Collection Center,Women and Children's Hospital Affiliated to Xiamen University,Xiamen,Fujian Province,361001 China)

机构地区：[1]厦门大学附属妇女儿童医院门诊部抽血中心,福建厦门361001

出　　处：《中外医疗》2020年第34期129-131,共3页China & Foreign Medical Treatment

摘　　要：目的探究门诊孕妇实施糖耐量试验方法以及导致糖耐量试验失败的影响因素。方法便利选择在该院门诊进行糖耐量试验的500例孕妇为研究样本,其研究时间均在2018年10月—2019年10月之间。全部孕妇均实施口服葡萄糖耐量试验,观察口服葡萄糖耐量试验结果;分析导致糖耐量试验失败的原因。结果 500例孕妇实施口服葡萄糖耐量试验,其中有30例出现糖耐量试验失败情况,在糖耐量试验成功的470例孕妇中,结果显示40例存在糖耐量异常情况,异常检出率是8.51%,口服葡萄糖耐量试验结果异常者中,有25例(5.32%)属于孕期葡萄糖耐量下降,有15例(3.19%)属于孕期糖尿病。经分析发现未打印条形码;未领取葡萄糖;没有条形码、葡萄糖以及刻度水杯;未准确掌握注意事项;分2次饮用葡萄糖水;未在5 min内将葡萄糖水全部饮用完毕;首次采血后间隔2 h再次采血;孕妇机体耐受性差,未饮用规定剂量葡萄糖水;因其他检查而错过采血时间;孕妇存在焦虑情绪以及护理人员未与孕妇有效沟通是影响糖耐量试验失败的重要因素。结论妊娠24周之后需对孕妇进行糖耐量筛查,在进行糖耐量试验时需严格遵循操作规范,落实各项操作步骤,避免各种因素影响而导致糖耐量试验失败,提升糖耐量试验成功率。Objective To explore the implementation of glucose tolerance test methods for pregnant women in outpatient clinics and the influencing factors that lead to the failure of glucose tolerance test.Methods Convenient selection 500 pregnant women who underwent a glucose tolerance test in the outpatient department of the hospital were selected as the study samples,and the study time was between October 2018 and October 2019.All pregnant women performed oral glucose tolerance test to observe the results of oral glucose tolerance test;analyze the reasons leading to the failure of glucose tolerance test.Results 500 pregnant women underwent oral glucose tolerance test.Among them,30 cases failed the glucose tolerance test.Among the 470 pregnant women who succeeded in the glucose tolerance test,the results showed that 40 cases had abnormal glucose tolerance.The abnormal detection rate was 8.51%.Among those with abnormal results of oral glucose tolerance test,25 cases(5.32%)belonged to impaired glucose tolerance during pregnancy,and 15 cases(3.19%)belonged to diabetes during pregnancy.After analysis,it was found that the barcode was not printed;the glucose was not received;there was no barcode,glucose,and graduated water cup;the precautions were not accurately grasped;the glucose water was drunk twice;the glucose water was not drunk completely within 5 minutes;2 h after the first blood collection,blood was collected again;the pregnant woman had poor body tolerance and did not drink the prescribed dose of glucose water;missed the blood collection time due to other examinations;the pregnant women’s anxiety and the nursing staff did not communicate effectively with the pregnant women were important factors that affected the failure of the glucose tolerance test.Conclusion After 24 weeks of gestation,pregnant women need to be screened for glucose tolerance.When performing the glucose tolerance test,it is necessary to strictly follow the operating specifications,implement various operating procedures,avoid the influence of vario

关 键 词：影响因素 糖耐量试验 孕妇 门诊 糖尿病 

分 类 号：R714[医药卫生—妇产科学]