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目的通过口服葡萄糖耐量实验(OGTT)筛查妊娠期糖尿病,为产妇血糖监测及治疗提供科学依据。方法收集2011-07/2014-04在河北省秦皇岛市第一医院行产前检查的1 529例孕妇,进行口服75 g葡萄糖糖耐量实验,应用SPSS19.0软件计算妊娠期糖尿病(GDM)在孕妇筛查的总阳性率,比较不同年龄段妊娠期糖尿病比例。结果 1 529例孕妇中共确诊GDM 275例(17.98%),各年龄段20~24岁、25~29岁、30~34岁、35岁以上GDM分别占10.9%、15.8%、24.8%和30.3%。结论某医院筛查高龄孕妇妊娠期糖尿病病例所占比例较大,通过OGTT筛查妊娠期糖尿病,可对产妇血糖进行监测,有益于孕妇和胎儿。
Objective To screen gestational diabetes by oral glucose tolerance test (OGTT) and provide a scientific basis for the monitoring and treatment of maternal blood glucose. Methods A total of 1 529 pregnant women undergoing prenatal examination from the First Hospital of Qinhuangdao City, Hebei Province from July 2011 to April 2014 were enrolled in this study. The oral glucose tolerance test was performed on 75 g glucose. The gestational diabetes mellitus (GDM) Screening of the total positive rate, compared with different age groups gestational diabetes ratio. Results A total of 275 cases (17.98%) of GDM were diagnosed in 1 529 pregnant women, with GDM accounting for 10.9%, 15.8%, 24.8% and 30.3% respectively in all age groups of 20-24 years, 25-29 years, 30-34 years and 35 years old respectively. . Conclusion A large proportion of cases of gestational diabetes mellitus screening in pregnant women in a hospital can be monitored by OGTT in gestational diabetes mellitus, which is beneficial to pregnant women and fetus.