CAJ | 학술논문

目的：进一步探讨50g葡萄糖筛查(糖筛查)阳性与妊娠糖尿病(GDM)的关系。方法：选择1997年3月～2000年6月在我院门诊检查孕妇中50g葡萄糖筛查阳性的216例孕妇，全部通过糖耐量(OGTT)试验，并分为三组：正常组、OGTT异常(IGT)组、GDM组，并就研究项目进行分组对照研究。结果：①糖筛查阳性与OGTT异常检出密切相关；②伴随高危因素其糖筛查阳性的OGTT异常检出率明显增加；③糖筛查值≥10mmol/L时，其GDM发生率上升明显。结论：糖筛查对诊断GDM是十分必要的。特别是伴有高危因素的孕妇，或糖筛查值≥10mmol/L的孕妇，应高度警惕GDM的发生，及时行OGTT试验，及早发现，及早处理。
목적：진일보탐토50g포도당사사(당사사)양성여임신당뇨병(GDM)적관계。방법：선택1997년3월～2000년6월재아원문진검사잉부중50g포도당사사양성적216례잉부，전부통과당내량(OGTT)시험，병분위삼조：정상조、OGTT이상(IGT)조、GDM조，병취연구항목진행분조대조연구。결과：①당사사양성여OGTT이상검출밀절상관；②반수고위인소기당사사양성적OGTT이상검출솔명현증가；③당사사치≥10mmol/L시，기GDM발생솔상승명현。결론：당사사대진단GDM시십분필요적。특별시반유고위인소적잉부，혹당사사치≥10mmol/L적잉부，응고도경척GDM적발생，급시행OGTT시험，급조발현，급조처리。
Objective:To study the relationship between peroral 50g glucosescreening test(GST)positive and gestational diabetes mellitus (GDM).Methods:From March 1997 to June 2000,216 pregnant women who showed 50g GST positive were studied in Gongli Hospital of Pudong.According to oral glucose tolerance test OGTT,we divided the pregnant women into normal OGTT,abnormal OGTT(IGT) and GDM groups.Results:Positive GST was closely correlated with abnomal OGTT．Women who had GDM high risk factors and GST positive existed a high rate of abnomal OGTT．Woman with 50g GST≥10mmol/L had a high rate of GDM.Conclusion:50g GST is a useful method of predicting gestational diabetes mellitus.