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目的探讨新诊断标准筛查妊娠期糖尿病(GDM)的临床应用及意义。方法选取2014年7月-2015年1月在该院产科门诊建卡,并连续进行产前检查的孕妇1 401例,在孕24~28周进行GDM筛查,由专业人员对孕妇进行产检,并严格按照要求填写问卷。安排专人进行数据整理和录入,记录新生儿出生体重。结果检查共发现156例GDM孕妇,占11.13%。其中<25岁占4.38%,25~29岁占8.22%,30~34岁占15.25%,≥35岁占21.64%。根据孕妇BMI>30 kg/m~2分为肥胖组和非肥胖组,肥胖组GDM发生率为19.38%,非肥胖组GDM发生率为8.64%,两组比较差异有统计学意义(P<0.01)。按照75 g葡萄糖耐量试验(OGTT)分为GDM组和正常组,GDM组巨大儿发生率为18.59%,正常组巨大儿发生率为7.87%,两组比较差异有统计学意义(P<0.01)。结论随着年龄的增长,GDM的发病率增高;GDM会引增加巨大儿的发生率。应加强对GDM的早期筛查、早期诊断和早期治疗,降低巨大儿的分娩率,减轻孕产妇的心理压力。
Objective To investigate the clinical application and significance of new diagnostic criteria for screening gestational diabetes mellitus (GDM). Methods A total of 1 401 pregnant women were enrolled in the obstetrics outpatient department of our hospital from July 2014 to January 2015. GDM screening was carried out at 24 to 28 weeks of gestation and the pregnant women were examined by professional staff. And in strict accordance with the requirements of the questionnaire. Arrange for someone to organize and input data, record the birth weight of newborns. Results Check found a total of 156 cases of GDM pregnant women, accounting for 11.13%. Among them, <25 years old accounted for 4.38%, 25-29 years old accounted for 8.22%, 30-34 years old accounted for 15.25%, ≥ 35 years old accounted for 21.64%. The incidence of GDM was 19.38% in obese group and 8.64% in non-obese group according to BMI> 30 kg / m ~ 2 in pregnant women, the difference was statistically significant (P <0.01) ). According to the 75 g glucose tolerance test (OGTT), the incidence of macrosomia in GDM group and normal group was 18.59% and that in normal group was 7.87%. There was significant difference between the two groups (P <0.01) . Conclusion With the increase of age, the incidence of GDM increases; GDM can increase the incidence of giant children. Early screening, early diagnosis and early treatment of GDM should be strengthened to reduce the delivery rate of giant children and reduce the psychological pressure of pregnant women.