摘要
目的开展妊娠期糖尿病（GDM）的筛奄，对降低母婴身心损害有重要意义。方法选择2010年1月-2013年10月本院收治的1335例行产前检查的孕妇（妊娠24～28周），平均年龄为2989岁，最小年龄为21岁，最大年龄为36岁。行50g糖筛查（GCT），有40例患者被诊断为GDM。孕妇空腹在5min内喝完200毫升葡萄糖水（含有50g葡萄糖），记下喝第一口水的时间，而后再在服糖后1h查血糖。结果2010年1月-2013年10月中筛查了1335例孕妇（妊娠24～28周），经75g糖耐量实验及50g糖筛查后，有40例（3．O％）患者被确诊为妊娠期糖尿病，年龄越犬，发病率越高，具有较为明显的统计学差异（P〈0．01）。40例治疗组中围产儿死亡0例，围产儿健康40例；13例未治疗组中围产儿死亡2例，围产儿健康11例；合计围产儿死亡2例，围产儿健康51例。结论早诊断，早治疗，能明显的改善围产儿的预后，提高同产期保健质量。
Objective To carry out the screening for gestational diabetes mellitus （GDM）, which is of great importance for reducing maternal and child physical and psychological damage. Methods 1 335 pregnant women （24 - 28 weeks of pregnancy） conducted prenatal care in our hospital from Jan., 2010 to Oct., 2013 were selected. They were 21 - 36 years old, with the median age of 29.89. After 50 g glucose challenge test （GCT）, 40 patients were diagnosed as GDM. The time to drink water first was recorded after fasting pregnant women drank 200 mL glucose （containing 50 g glucose） in water in 5 rain, and then their glucose levels were examined again 1 h after drinking glucose. Results 1 335 pregnant women （24 - 28 weeks of pregnancy） from Jan., 2010 to Oct., 2013 were screened. After 75 g sugar tolerance test and 50 g GCT, 40 patients （3.0%） were diagnosed as GDM, and the older they were, the higher was the incidence, with significant statistical difference （P 〈 0.01）. There was no perinatal infant death in 40 cases of treatment group, 40 cases were healthy; there were 2 perinatal infant deaths in 13 cases of non-treatment group, 11 cases were healthy. Totally, there were 2 perinatal infant deaths, and 51 were healthy. Conclusion Early diagnosis and treatment can significantly improve the prognosis ofperinatal infants and health care quality in perinatal stage.
出处
《实用临床医药杂志》
CAS
2013年第A01期63-64,共2页
Journal of Clinical Medicine in Practice
关键词
妊娠
糖尿病
筛查
pregnancy
diabetes mellitus
screening
