妊娠期糖尿病患者75g糖耐量试验血糖水平与大于胎龄儿的相关性研究

Relationship between 75 g OGTT glucose levels and large-for-gestational age newborns in women with gestational diabetes mellitns

在孕24～28周利用75g口服葡萄糖耐量试验对孕妇进行妊娠期糖尿病的筛查和诊断，比较妊娠期糖尿病人群大于胎龄儿组与适于胎龄儿组的一般资料、糖代谢指标及胎盘情况，并分析预测大于胎龄儿的危险因素。结果显示空腹血糖是妊娠期糖尿病患者发生大于胎龄儿的重要预测因子，其切点值为5．55mmol／L。

Gestational diabetes mellitus was screened and diagnosed by 75 g oral glucose tolerance test during 24-28 week conception. Comparisons of general characters, carbohydrate metabolism information and placenta factors between appropriate for gestational age group and large for gestational age group were carried out, and analyzed risk factors for the prediction of large for gestational age. The resuhs suggested that fasting blood glucose was the important predictor for delivering large for gestational age, and the cut-off point was 5.55mmol/L.