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目的了解导致妊娠糖尿病的危险年龄。方法对孕周在24~40周的486名孕妇行口服75 g葡萄糖耐量试验(OGTT),评估其妊娠年龄与血糖水平的关系。结果超过15%的孕妇服糖后2 h血糖≥7.8 mmol/L。其年龄与OGTT空腹血糖、服糖后2 h血糖呈正相关(r值分别为0.157,0.263,P<0.001)。34岁孕妇服糖后2 h血糖为(9.14±1.52)mmol/L,比<33岁孕妇服糖后2 h血糖(4.81±1.06)~(6.68±2.35)mmol/L明显升高。结论导致妊娠糖尿病的危险年龄为34岁,妊娠糖尿病的危险年龄和2型糖尿病的发病年龄一样已开始年轻化。
Objective To understand the dangerous age of gestational diabetes. Methods A total of 486 pregnant women with gestational age from 24 to 40 weeks were given 75 g oral glucose tolerance test (OGTT) to evaluate the relationship between gestational age and blood glucose level. Results More than 15% of pregnant women 2 h after oral glucose ≥ 7.8 mmol / L. The age was positively correlated with fasting blood glucose (OGTT) and blood glucose at 2 h after oral administration (r = 0.157, 0.263, P <0.001, respectively). The blood glucose at 34 years old was (9.14 ± 1.52) mmol / L at 2 h after oral administration, which was significantly higher than that at <33 years old at 2 h after oral administration of sugar (4.81 ± 1.06) ~ (6.68 ± 2.35) mmol / L. Conclusions The dangerous age at onset of gestational diabetes is 34 years old. The dangerous age of gestational diabetes mellitus is just as young as the onset of type 2 diabetes.