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目的分析75 g葡萄糖耐量试验三时点血糖值与孕妇妊娠期糖尿病合并症的相关性。方法对筛选出的185例妊娠期糖尿病孕妇进行OGTT试验,分析三时点血糖值与新生儿出生体重的相关性。结果空腹血糖所确定的是否患有妊娠期糖尿病与新生儿体重是否正常之间有关联,差异有统计学意义(P<0.01);OGTT 1 h血糖值所确定的是否为妊娠期糖尿病与新生儿是否为巨大儿之间有关联,差异有统计学意义(P<0.01);OGTT 2 h血糖值所确定的是否为妊娠期糖尿病与新生儿是否为巨大儿之间有关联,差异有统计学意义(P<0.01)。结论妊娠期糖尿病与否对判定新生儿是否是巨大儿有重要参考价值,而OGTT试验三时点值是判断妊娠期糖尿病的灵敏指标,因此其可以较好地预测孕妇妊娠期糖尿病合并症之巨大儿的发生率。
OBJECTIVE: To analyze the association between blood glucose level at 3 o’clock in 75 g glucose tolerance test and gestational diabetes mellitus in pregnant women. Methods A total of 185 pregnant women with gestational diabetes mellitus were screened for OGTT. The correlation between blood glucose level at 3 o’clock and birth weight was analyzed. Results There was a significant correlation between fasting blood glucose and whether or not gestational diabetes mellitus and neonatal body weight were normal (P <0.01). The blood glucose level of OGTT determined whether it was gestational diabetes and neonatal There was a significant difference between the macrosomia children (P <0.01). The blood glucose level of OGTT 2h was correlated with gestational diabetes mellitus and whether the neonates were macrosomia, the difference was statistically significant (P <0.01). Conclusions Gestational diabetes mellitus is an important reference value for judging whether a newborn is a giant child. However, OGTT test is a sensitive index for judging gestational diabetes mellitus, so it can predict the huge complications of gestational diabetes mellitus in pregnant women The incidence of children.