摘要
目的探讨孕早期首次空腹血糖检查对妊娠期糖尿病的预测意义。方法选取2012年1月-2015年1月确诊怀孕并首次接受孕检的孕早期（孕10-15周）孕妇658例,检测空腹血糖值,并于孕24-28周行OGTT试验。结果 658例孕妇首次孕检空腹血糖诊断GDM 60例,占9.12%,且空腹血糖正常组与GDM组比较,不良妊娠结局的发生率少于GDM组,差异有统计学意义（P〈0.05）;首次孕检空腹血糖和OGTT空腹血糖呈正相关关系（r=0.331）,且当首次孕检空腹血糖≥5.60mmol/L时,诊断GDM的特异性达到0.99以上。结论首次孕检空腹血糖可以预测妊娠期糖尿病的发生,当首次孕检空腹血糖达到或超过5.60 mmol/L时候应该予以足够的重视,给予科学合理的医学指导和饮食运动干预,减少妊娠期糖尿病的发生率,避免不良妊娠结局的发生。
【Objective】To investigate the predictive value of the first fasting blood glucose in the early pregnancy in gestational diabetes mellitus.【Methods】Select 658 cases of pregnant women who were diagnosed from January 2012 to January 2015, and the first time to accept the pregnancy test, cases of pregnant women, and to detect the fasting blood glucose, and OGTT test in 24-28 weeks.【Results】658 cases of pregnant women for the first time pregnancy testing fasting blood glucose in the diagnosis of GDM in 60 cases, accounting for 9.12% and normal fasting glucose group and GDM group compared incidence of less than GDM group in adverse pregnancy outcomes, the difference is statistically significant（P〈0.05）; for the first time pregnant check fasting blood glucose and oral glucose tolerance test（OGTT） fasting blood glucose was positively correlation（r = 0.331） and when the first pregnancy testing fasting blood glucose is more than or equal to 5.6 mmol / L, the specificity of diagnosis of GDM reached more than 0.99.【Conclusion】Fasting blood glucose can predict the occurrence of gestational diabetes, and should be paid enough attention to when the first pregnant examination of fasting blood glucose reached or more than 5.60 mmol/L should be given scientific and reasonable medical guidance and dietary exercise intervention to reduce the incidence of gestational diabetes and avoid adverse pregnancy outcome.
出处
《中国医学工程》
2015年第8期7-8,10,共3页
China Medical Engineering
