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目的探讨糖化血红蛋白(HbA1c)检测在妊娠期糖尿病和糖尿病合并妊娠产后糖耐量异常患者中的临床价值。方法产科分娩的糖代谢异常患者30例,其中,妊娠期糖尿病27例,糖尿病合并妊娠3例,所有患者都进行血糖、HbA1c和尿干化学11项检测。结果 30例患者中27例血糖≤5.8 mmol/L,HbA1c<7%控制理想,顺利产下正常婴儿;3例血糖≥11.1 mmol/L,HbA1c>9%控制不理想,有2例分娩的婴儿表现低血糖,出生后30 min,滴服25%葡萄糖溶液,7 h后,血糖正常,另外1例患者的胎儿发生围生期死亡。结论血糖和HbA1c在围生期的定期临床检测具有重要临床价值。
Objective To investigate the clinical value of glycosylated hemoglobin (HbA1c) detection in patients with gestational diabetes and diabetes complicated with postpartum impaired glucose tolerance. Methods 30 cases of abnormal glucose metabolism in obstetric childbirth, 27 cases of gestational diabetes mellitus, 3 cases of diabetes complicated with pregnancy, all patients were 11 cases of blood glucose, HbA1c and urine dry chemistry. Results Of the 30 patients, blood glucose was less than or equal to 5.8 mmol / L, HbA1c was less than 7%, and normal babies were successfully delivered. Three patients with blood glucose ≥11.1 mmol / L and HbA1c> 9% had unsatisfactory control and two delivered babies The performance of hypoglycemia, 30 min after birth, dropping 25% glucose solution, 7 h after the normal blood glucose, the other one case of fetal perinatal death occurred. Conclusion The regular clinical examination of blood glucose and HbA1c in the perinatal period has important clinical value.