妊娠糖尿病患者产后血糖随访的临床分析

Clinical Analysis of the Postpartum Blood Glucose Follow-up in Patients with Gestational Diabetes Mellitus

目的了解妊娠糖尿病（GDM）患者产后血糖随访率及口服糖耐量试验（OGTT）结果的变化，为提高随访效果提供参考。方法对30例GDM患者于产后6周、24周、48周在门诊行0GTT随访血糖，根据结果分为糖尿病组、糖耐量减低组和血糖正常组。分析GDM患者产后不同时段血糖随访率及0GTT结果的差异。结果GDM患者产后6周，24周，48周血糖随访率分别为70．0％，46．7％，46．7％。GDM患者产后6周，24周，48周糖尿病（DM）患病率分别为9．5％，7．1％，7．1％，糖耐量减低（IGT）患病率分别为19．0％，28．6％，21．4％。结论GDM患者产后血糖随访率偏低，应采取相应措施提高随访率。GDM患者产后6～48周普遍存在糖代谢紊乱，产后应严格随访及早期干预，延缓或阻止产后DM发生。

Objective To investigate the postpartum week blood glucose follow-up rate of patients with gesta- tional diabetes mellitus （GDM） and changes of oral glucose tolerance test （OGTT） so as to provide a reference for improving the follow-up results. Method 30 cases of GDM patients did OGTT of the blood glucose follow- up at the outpatient clinic after their delivery of 6 weeks, 24 weeks and 48 weeks. According to the results, they were divided into diabetic group, impaired glucose tolerance and normal blood glucose group to analyze the postpartum blood glucose follow-up rate and differences of OGTT results at different periods of time. Resuits The blood glucose follow-up rates of GDM patients after their delivery of 6, 24 and 48 weeks were 70.0%, 46.7% and 46.7%. The DM prevalence rates of GDM patients after their delivery of 6, 24 and 48 weeks were 9.5%, 7.1% and 7.1% and their IGT prevalence rates were 19.0%, 28.6% and 21.4 %. Conelusion The postpartum blood glucose follow-up rate of patients with gestational diabetes mellitus （GDM） is low and there should be appropriate measures to improve the follow-up rate. GDM patients often have glucose metabolism disorders during their postpartum periods of 6 to 48 weeks, and there should be serious follow-ups and early intervention to slow down or prevent the occurrence of postpartum DM.