论文部分内容阅读
目的:了解妊娠期糖尿病发病率以及与部分高危因素的关系,探讨妊娠期糖尿病一步法诊断标准的临床意义。方法:对1180例产前检查孕妇在孕24~28周之间直接进行75g口服葡萄糖耐量试验。结果:1180例孕妇中按一步法诊断新标准,诊断妊娠期糖尿病的为97例,发生率为8.22%。年龄大于35岁以上的有81人,占83.5%,妊娠前超重或肥胖才有32人,占32.99%,糖耐量异常史的有3人,占3.93%,多囊卵巢综合征5人,占5.155%,糖尿病家族史15人,占15.46%,不良生育史16人,占16.49%,反复外阴阴道假丝酵母菌病者19人,占19.58%,与OGTT正常组比较差异显著(p<0.05)。结论:大多数妊娠期糖尿病患者无明显临床表现,一步法能识别更多的妊娠期糖尿病患者,有利于对妊娠期糖尿病的早诊断、早干预、早治疗,以期降低对母婴的危害。
Objective: To understand the incidence of gestational diabetes mellitus and the relationship with some risk factors to explore the clinical significance of one-step diagnostic criteria for gestational diabetes mellitus. METHODS: A total of 1180 prenatal pregnancies were directly tested for 75 g oral glucose tolerance test between 24 and 28 weeks of gestation. Results: Among the 1180 pregnant women, one-step method was used to diagnose the new standard. 97 cases of gestational diabetes were diagnosed, the incidence was 8.22%. There were 81 persons (83.5%) older than 35 years old, 32 persons were overweight or obese before pregnancy, accounting for 32.99%, 3 persons with abnormal glucose tolerance history (3.93%), 5 patients with PCOS, accounting for 5.155%, family history of diabetes 15, accounting for 15.46%, history of unborn childbirth 16, accounting for 16.49%, 19 were recurrent vulvovaginal candidiasis, accounting for 19.58%, which was significantly different from normal OGTT group (p <0.05 ). Conclusion: Most patients with gestational diabetes have no obvious clinical manifestations. One-step method can identify more patients with gestational diabetes mellitus, which is good for early diagnosis, early intervention and early treatment of gestational diabetes in order to reduce the harm to mother and infant.