葡萄糖筛查对妊娠期孕妇的价值

Clinical significance of the glucose screening tests during pregnancy

目的探讨葡萄糖筛查在妊娠期的临床意义。方法对1516例24—28周的孕妇进行50g葡萄糖筛查（GCT），血糖≥7．8mmol/L再进一步做糖耐量试验（OGTT）以明确诊断。结果妊娠期糖尿病发生率3．17％，妊娠期糖耐量受损发生率2．64％。结论孕妇葡萄糖筛查可及早诊断妊娠期糖尿病，从而降低围生儿死亡率。

Objective To investigate the clinical significance of the glucose screening tests during pregnancy. Methods 1 516 cases of 24 -28 weeks pregnant women were given 50g glucose screening tests, and for those whose blood glucose ≥7. 8mmol/L further underwent glucose tolerance tests （OGTT）for a clear diagnosis. Results The incidence of gestational diabetes is 3.17% and the incidence of impaired glucose tolerance in pregnancy is 2.64%. Conclusion 50g glucose screening for pregnant women helps to carry out early diagnosis and treatment of gestational diabetes,to improve the quality of obstetric and reduce perinatal mortality rate,it is of great significance.