摘要
目的 :通过对 190例孕妇血糖观察 ,了解不同方法测定血糖对妊娠期糖尿病 (GDM )的诊断作用。方法 :用静脉血糖、末梢血糖及糖化血红蛋白 (HbAlc) 3种方法对孕妇进行筛查比较。结果 :末梢血糖测定GDM患病率 4.74% (9/ 190 ) ,静脉血糖为 1.0 5 % (2 / 190 ) ,而诊断符合GDM者为 1.0 5 % (2 / 190 ) ,进一步证实末梢血糖假阳性率为 3.6 8% (7/ 190 )。结论 :静脉血糖有利于早期发现GDM和葡萄糖代谢轻度异常 ,该法敏感度好 ,精确度高 ;HbAlc测定可作为GDM是否控制的良好指标 ;末梢血糖假阳性率高 ,不宜临床推广。
Objective:blood sugar levels in 190 pregnant women were tested to study the diagnosis value of GDM in different methods. Methods: We compared the three methods, venous blood sugar, peripheral blood sugar test and HbAlc test, to examine the pregnant women. Results: The GDM rate was 4.74%(9/190) by peripheral blood sugar test, and 1.05% (2/190) by venous blood suger and it is true that 2 of the 190 pregnant women were GDM by clinical diagnosis. Conclusion:Venous blood suger is advantageous to the earlier discovery of GDM and the light abnormality of glucose metabolism. It is sensitive and accurate. The results of HbAlc test showed a good index for whether GDM is properly controled. And peripheral blood sugar test proved a higher rate of the false positive and not fit for its clinical application.
出处
《贵阳医学院学报》
CAS
2001年第3期225-226,230,共3页
Journal of Guiyang Medical College
关键词
妊娠
糖尿病患者
血糖
静脉血
末梢血
pregnaney in diabetes
blood glucose
venous blood
peripheral blood
