妊娠期糖尿病筛查在临床中的应用价值

目的:探讨妊娠期糖尿病(GDM)筛查在临床中的应用价值。方法:随机选取2011年10月—2013年10月在我院门诊就诊的50例孕妇作为研究对象。在实验中,为所有孕妇均进行GDM筛查,并密切监测其围生期的胎儿变化和最终的分娩情况。结果:①在这50例孕妇中,GDM筛查结果为阳性的有20例,阳性率为40%。为其中的10例孕妇进行OGTT试验(葡萄糖耐量试验),结果显示,有6例孕妇存在OGTT异常的现象:4例被确诊患有GDM,2例被确诊发生了GIGT(糖耐量受损)。②在6例OGTT异常的孕妇中,存在糖尿病家族史的孕妇有4例,存在自然流产史的孕妇有2例;发生胎儿窘迫的孕妇有1例,发生胎盘早剥的孕妇有1例,发生妊高症的孕妇有1例,发生产后出血的孕妇有1例,娩出巨大胎儿的孕妇有2例;通过剖宫产手术分娩的孕妇有4例,自然分娩的产妇有2例。结论:为孕妇进行GDM筛查能够有效避免其因糖尿病而导致的产科并发症,从而确保母婴的安全。

Objective:EvaluateGDM clinical application value of screening. Method:Random October 2011 to October 2013 in the outpatient clinic of 50 pregnant women as research subjects. GDM screening for all pregnant women, and closely monitor perinatal changes and final delivery of the fetus. Results: ① in 50 cases of pregnant women, 20 cases of GDM screening result is positive(40%). For 10 pregnant women of the OGTT test, results show that the abnormality of OGTT phenomena 6 pregnant women. ② in 6 cases OGTT exception of pregnant women, exists diabetes family history of pregnant women has 4 cases, exists natural abortion history of pregnant women has 2 cases; occurred fetal distress of pregnant women has 1 cases, occurred placenta early stripping of pregnant women has 1 cases, occurred pregnancy high syndrome of pregnant women has 1 cases, occurred postpartum bleeding of pregnant women has 1 cases, delivery huge fetal of pregnant women has 2 cases; through profile Palace produced surgery delivery of pregnant women has 4 cases, natural delivery of maternal has 2 cases. Conclusion: Screening for GDM in pregnant women can avoid its obstetric complications due to diabetes, so as to ensure the safety of mother and child.