CAJ | 학술논문

目的探讨不同年龄组妊娠高血压疾病孕妇空腹血糖(FPG)正常者葡萄糖耐受能力的差别.方法将妊娠高血压孕妇FPG正常者纳入观察组,正常妊娠者纳入对照组.观察组从20周岁到45周岁按每5周岁为一年龄段各设5个小组,即:≥20周岁为A组,≥25周岁为B组,≥30周岁为c组,≥35周岁为D组,≥40周岁、<45周岁为E组.每小组各按时间顺序入选病例31、32、33、34、30例.入选对象在孕37周加1至38周时进行空腹葡萄糖耐量试验(OGTT),然后将观察组各小组2小时血糖值(2hPG)进行比较,并与对照组35例对比分析.结果观察组各小组2hPG水平均高于对照组,而且,随着年龄增加愈加显著,其中C组与B组、D组与C组、E组与D组比较均有非常显著意义(P<0.01);观察组各小组2hPG升高率均高于对照组,观察组随着年龄增长2hPG升高率逐渐增加,其中E组与D组、D组与C组比较均有统计学意义(P<0.05).结论妊娠高血压疾病孕妇FPG正常者葡萄糖耐受能力显著下降.年龄可作为妊娠高血压疾病孕妇糖代谢障碍的预测因素.
목적 탐토불동년령조임신고혈압질병잉부공복혈당(FPG)정상자포도당내수능력적차별.방법 장임신고혈압잉부FPG정상자납입관찰조,정상임신자납입대조조.관찰조종20주세도45주세안매5주세위일년령단각설5개소조,즉:≥20주세위A조,≥25주세위B조,≥30주세위c조,≥35주세위D조,≥40주세、<45주세위E조.매소조각안시간순서입선병례31、32、33、34、30례.입선대상재잉37주가1지38주시진행공복포도당내량시험(OGTT),연후장관찰조각소조2소시혈당치(2hPG)진행비교,병여대조조35례대비분석.결과 관찰조각소조2hPG수평균고우대조조,이차,수착년령증가유가현저,기중C조여B조、D조여C조、E조여D조비교균유비상현저의의(P<0.01);관찰조각소조2hPG승고솔균고우대조조,관찰조수착년령증장2hPG승고솔축점증가,기중E조여D조、D조여C조비교균유통계학의의(P<0.05).결론 임신고혈압질병잉부FPG정상자포도당내수능력현저하강.년령가작위임신고혈압질병잉부당대사장애적예측인소.
Objective To discuss the difference of oral glucose tolerance in pregnancy-induced hypertension patients with normal fasting plasma glucose(FPG)of different age.Methods Set pregnancy-induced hypertension patients with normal fasting blood-glacose as observation group and normal pregnant women as control group.Observation group were divided into 5 groups according to their age.Group A:=20 years old(31 patients).Group B:=25 years old(32 patients).Group C:=30 years old(33patients).Group D:=35 years old(34 patients).Group E:=40 years old,and<45 years old(30patients).Results The 2hPG in each observation group were all higher than control,and with the increase of age,the difference were more evident.The difference between group C and group B,group D and group C,group E and group D were statistical significance(P<0.01).The pressure rise rate of 2hPG in each observation group were all higher than control,and with the increase of age,the differene were more evident.The difference between group D and group C,group E and group D were statistical significance(p<0.05).Conclusions The oral glucose tolerance of pregnancy-induced hypertension patients with normal fasting blood-glucose decreases sharply.Age can be considered as a predictor of dysbolism in pregnancyinduced hypertension patients.