妊娠期糖尿病孕妇产后血糖随访结果分析

Analysis of Glucose Level in Patients with Gestational Diabetes Mellitus

目的:探讨妊娠期糖尿病(GDM)孕妇产后6周的75g葡萄糖耐量试验(OGTT)结果了解产后DM的发生率。方法:对115例GDM孕妇于产后6周行OGTT,按WHO标准进行再分类,分为正常组、糖耐量减低(IGT)组、糖尿病(DM)组。结果:115例产妇中血糖正常组86例,占74.8%;IGT组19例,占16.5%;DM组10例,占8.7%。结论:GDM孕妇产后糖代谢异常发生率高,是发生DM的高危人群,产后应定期随访,以便及早诊断糖尿病。

Objective： To observe the result of the 75 g oral glucose tolerance test（OGTT） in gestational diabetes mellitus（GDM） at six weeks after delivering.Method： OGTT was carried out in 115 GDM patients at six weeks after delivering.According to WHO standards reclassified,the patients were delivered into three groups： normal group,impaired glucose tolerance（IGT） group and diabetes mellitus（DM） group.Result： The glucose level of 115 GDM patients that the normal group of 86 cases, accounting for 74.8%,IGT group of 19 cases,accounting for 16.5%,DM group of 10 cases,accounting for 8.7%.Conclusion： GDM patients with abnormal glucose metabolism occurred in the high probability that they were suffering from diabetes mellitus in high-risk population.Therefore,there should be regular follow-up to the early diagnosis of diabetes mellitus.