妊娠期糖尿病孕妇血糖指标变化与意义  

Changes and Significance of Blood Glucose Index in Pregnant Women with Gestational Diabetes Mellitus

作　　者：罗瑶 吴陈华 LUO Yao;WU Chenhua(Department of Obstetrics and Gynecology,Ningde Hospital Affiliated to Ningde Normal University,Ningde,Fujian)

机构地区：[1]宁德师范学院附属宁德市医院妇产科,福建宁德352100

出　　处：《糖尿病新世界》2024年第7期47-49,53,共4页Diabetes New World Magazine

摘　　要：目的研究妊娠期糖尿病孕妇空腹血糖(Fasting Blood Glucose,FBG)、餐后2小时血糖(2-hour Postpran-dial Blood Glucose,2 hPG)、糖化血清白蛋白(Glycated Albumin,GA)、糖化血红蛋白(Glycated Hemoglobin A1c,HbA1c)水平变化。方法选取2021年1月—2022年12月宁德师范学院附属宁德市医院诊治的180例妊娠期糖尿病孕妇,与同期200例健康孕妇作对比。所有研究对象均进行生化实验室检测。比较两组孕妇血糖值、生化实验室指标、不同指标单独及联合检测准确度等数据。结果妊娠期糖尿病孕妇各指标水平均高于健康孕妇,差异有统计学意义(P均<0.05);联合检测准确度等水平高于其他单独检测方式,差异有统计学意义(P均<0.05)。结论妊娠期糖尿病孕妇FBG、2 hPG、GA、HbA1c等指标水平和正常健康孕妇存在差异,通过联合检测具有更高的准确性,能够为产妇诊断提供丰富的参考依据,建议在孕妇妊娠期间积极检测,评估干预孕妇健康。Objective To study the changes of fasting blood glucose(FBG),2-hour postprandial blood glucose(2 hPG),glycated albumin(GA)and glycated hemoglobin A1c(HbA1c)levels in pregnant women with gestational dia-betes mellitus.Methods A total of 180 pregnant women with gestational diabetes diagnosed and treated in Ningde Hospital affiliated to Ningde Normal University from January 2021 to December 2022 were selected and compared with 200 healthy pregnant women during the same period.All subjects underwent biochemical laboratory tests.The blood glucose value,biochemical laboratory indicators,and the accuracy of different indicators were compared be-tween the two groups.Results The leves of all indexes of pregnant women with gestational diabetes were higher than those of healthy pregnant women,the differences were statistically significant(all P<0.05).The accuracy of combined detection were higher than those of other single detection methods,and the differences were statistically significant(all P<0.05).Conclusion The levels of FBG,2 hPG,GA,HbA1c and other indicators of pregnant women with gesta-tional diabetes mellitus are different from those of normal healthy pregnant women,and the combined detection has higher accuracy,which can provide rich reference for the diagnosis of maternal.It is recommended to actively detect pregnant women during pregnancy and to evaluate and intervene in the health of pregnant women.

关 键 词：妊娠期 糖尿病 孕妇 空腹血糖 餐后2小时血糖 糖化血清白蛋白 糖化血红蛋白 

分 类 号：R714.256[医药卫生—妇产科学]