孕妇葡萄糖测定和葡萄糖耐量检测结果的分析

An analysis of FBG detection and OGTT results of pregnant women

目的探讨1119例孕妇葡萄糖测定及葡萄糖耐量试验与妊娠糖尿病及妊娠期糖耐量受损或减低的发生率及其在临床诊断中的应用价值。方法对1119例孕妇行葡萄糖测定，以血糖≥7．8mmol／L为阳性，阳性者进一步行口服葡萄糖耐量试验检查。结果1119例孕妇葡萄糖测定阳性者295人，阳性率为26．4％，妊娠糖尿病发生率为3．1％；妊娠期糖耐量受损或减低发生率为3．3％；妊娠糖尿病＋妊娠期糖耐量受损或减低发生率为6．4％。结论葡萄糖测定结合葡萄糖耐量试验，对妊娠糖尿病的早筛查、早诊断及对减少妊娠不良结局的发生均有着极其重要的意义。

Objective To investigate incidence rates of gestational diabetes mellitus （GDM） and gestational impaired glucose tolerance （GIGT） and clinical diagnostic values of fasting blood glucose（FBG） detection and oral glucose tolerance test （OGTT）. Methods 1 119 pregnant women in Futian District Maternal and Child Health Hospital of Shenzhen City received FBG dection. Those women who had positive results （blood glucose level was above 7.8mmoL/L） further received OGTT. Results Among 1 119 pregnant women, 295 pregnant women had positive glucose screening results and the positive rate was 26.4%. The incidence rate of GDM was 3. 1% , that of GIGT was 3.3% and that of GDM ＋ GIGT was 6.4%. Conclusion FBG detection combined with OGTT is of very important significance for early identification and early diagnosis of GDM and for reducing adverse pregnancy outcomes.