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目的探讨UACR检测对妊娠糖尿病(GDM)患者的临床意义。方法选择GDM患者共82例,依UACR水平高低将患者分为三组,分别检测HbA1c、空腹血糖水平、OGTT2小时血糖、总胆固醇(TC)、甘油三酯(TG)、低密度脂蛋白(LDL)、C反应蛋白(CRP)相关指标,分析各组患者临床参数之间的差异。结果与UACR低水平组相比,UACR高水平组中HbA1c、空腹血糖水平、CRP水平、OGTT 2小时血糖均较高,而TG、TC、LDL、无明显差异。结论 GDM患者UACR水平的升高与患者血糖状态、CRP水平相关,可作为动脉硬化和慢性炎症的预测因子。
Objective To investigate the clinical significance of UACR in detecting gestational diabetes mellitus (GDM). Methods A total of 82 patients with GDM were selected and divided into three groups according to the level of UACR: HbA1c, fasting blood glucose level, OGTT2 hour blood glucose, TC, TG, LDL ), C-reactive protein (CRP) related indicators, analysis of the differences between the clinical parameters of patients in each group. Results Compared with the UACR low-level group, HbA1c, fasting blood glucose level, CRP level and OGTT 2-hour blood glucose were higher in the UACR high-level group, but TG, TC and LDL had no significant difference. Conclusions The increase of UACR in GDM patients is related to the blood glucose level and CRP level in patients with GDM, which may be used as predictors of atherosclerosis and chronic inflammation.