中国医药导刊
中國醫藥導刊
중국의약도간
CHINESE JOURNAL OF MEDICAL GUIDE
2013年
7期
1109-1110
,共2页
空腹血糖%妊娠期糖尿病%相关性分析
空腹血糖%妊娠期糖尿病%相關性分析
공복혈당%임신기당뇨병%상관성분석
Fasting plasma glucose%GestationaI diabetes mellitus%Analysis of relevance
目的：探讨分析妊娠早期空腹血糖(FPG)水平与妊娠期糖尿病(GDM)的相关性。方法：回顾性分析我院收治的250例孕妇的临床资料,将48例妊娠早期空腹血糖高于5.1 mmol/L的孕妇作为高血糖组,202例妊娠早期空腹血糖低于5.1 mmol/L的孕妇作为对照组。比较妊娠各个时期高血糖组与对照组空腹血糖水平的差异、两组孕妇在妊娠中晚期被诊断为妊娠期糖尿病比例的差异及两组孕妇的母儿预后。结果：高血糖组妊娠中晚期确诊为GDM的孕妇要明显多于对照组(P<0.05)；高血糖组妊娠1~13周,14~28周,28~36周的FPG水平均要高于对照组(P<0.05)；高血糖组早产、大于胎龄儿、新生儿感染的情况及剖宫产例数要明显多于对照组(P<0.05)。结论：妊娠早期FPG较高的孕妇患GDM的风险要高于普通孕妇,高FPG水平会导致不良母儿预后,故FPG检测是妊娠早期的一项必要检测,但还需要大样本量的临床研究来寻找一个合理的界值作为GDM的诊断标准。
目的：探討分析妊娠早期空腹血糖(FPG)水平與妊娠期糖尿病(GDM)的相關性。方法：迴顧性分析我院收治的250例孕婦的臨床資料,將48例妊娠早期空腹血糖高于5.1 mmol/L的孕婦作為高血糖組,202例妊娠早期空腹血糖低于5.1 mmol/L的孕婦作為對照組。比較妊娠各箇時期高血糖組與對照組空腹血糖水平的差異、兩組孕婦在妊娠中晚期被診斷為妊娠期糖尿病比例的差異及兩組孕婦的母兒預後。結果：高血糖組妊娠中晚期確診為GDM的孕婦要明顯多于對照組(P<0.05)；高血糖組妊娠1~13週,14~28週,28~36週的FPG水平均要高于對照組(P<0.05)；高血糖組早產、大于胎齡兒、新生兒感染的情況及剖宮產例數要明顯多于對照組(P<0.05)。結論：妊娠早期FPG較高的孕婦患GDM的風險要高于普通孕婦,高FPG水平會導緻不良母兒預後,故FPG檢測是妊娠早期的一項必要檢測,但還需要大樣本量的臨床研究來尋找一箇閤理的界值作為GDM的診斷標準。
목적：탐토분석임신조기공복혈당(FPG)수평여임신기당뇨병(GDM)적상관성。방법：회고성분석아원수치적250례잉부적림상자료,장48례임신조기공복혈당고우5.1 mmol/L적잉부작위고혈당조,202례임신조기공복혈당저우5.1 mmol/L적잉부작위대조조。비교임신각개시기고혈당조여대조조공복혈당수평적차이、량조잉부재임신중만기피진단위임신기당뇨병비례적차이급량조잉부적모인예후。결과：고혈당조임신중만기학진위GDM적잉부요명현다우대조조(P<0.05)；고혈당조임신1~13주,14~28주,28~36주적FPG수평균요고우대조조(P<0.05)；고혈당조조산、대우태령인、신생인감염적정황급부궁산례수요명현다우대조조(P<0.05)。결론：임신조기FPG교고적잉부환GDM적풍험요고우보통잉부,고FPG수평회도치불량모인예후,고FPG검측시임신조기적일항필요검측,단환수요대양본량적림상연구래심조일개합리적계치작위GDM적진단표준。
Objective:To explore the relevance between fasting plasma glucose (FPG) level in early pregnancy and gestationaI diabetes mellitus (GDM). Methods:Retrospectively analyze the clinical data of 250 pregnant women who came to our hospital. 48 cases whose FPG in early pregnancy higher than 5.1 mmol/L were divided into the high glucoses group while 202 cases whose FPG in early pregnancy lower than 5.1 mmol/L were divided into the control group. Compare the FPG level, mode of delivery, the merger of the disease during pregnancy and the situation of the newborn of the two groups. Results:The diagnostic rate of the high glucoses group in mid-late pregnancy was statistically higher than that of the control group(P<0.05);the FPG level of the high glucoses group in pregnancy was higher than that of the control group (P<0.05);Premature birth, large for gestational age, neonatal infection and cesarean section number of high glucoses group were significantly more than the control group(P<0.05). Conclusion:The risk of GDM of pregnant women with higher FPG level was higher than normal pregnant women and high FPG levels will lead to poor prognosis of mother and child. FPG test is necessary in early pregnancy, but larger sample and more clinical studies will be needed to find a reasonable boundary values as the diagnostic criteria of GDM.
