糖耐量与联合糖化血红蛋白检测在妊娠期糖尿病中的诊断价值

Diagnostic value of glucose tolerance combined with glycosylated hemoglobin in pregnancy with diabetes

目的探讨糖耐量糖化血红蛋白联合糖化血红蛋白糖耐量检测在妊娠期糖尿病中的诊断价值。方法选取本院70例妊娠期糖尿病患者为研究对象,根据随机数字表法分为两组,各35例。对照组接受糖耐量检测,研究组接受糖耐量联合糖化血红蛋白检测,比较两组的血糖水平、妊娠期糖尿病检出情况。结果研究组空腹血糖、餐后1h血糖、餐后2h血糖水平高于对照组,差异有统计学意义(P<0.05);糖耐量联合糖化血红蛋白检测的诊断准确率为88.57%,高于糖耐量检测的75.71%(P<0.05)。结论糖耐量联合糖化血红蛋白检测可以有效诊断妊娠期糖尿病,具有较高的临床应用价值。

Objective To explore the diagnostic value of glycosylated hemoglobin(HbA1C)combined with glucose tolerance test(GTT)in gestational diabetes.Methods 70 patients with gestational diabetes in our hospital were selected as the research object,and were divided into two groups according to the random number table,35 cases in each group.The control group received glucose tolerance test,and the study group received glucose tolerance combined with glycosylated hemoglobin test.The blood glucose level and the detection of diabetes in pregnancy of the two groups were compared.Results The levels of fasting blood glucose,1-hour postprandial blood glucose,and 2-hour postprandial blood glucose in the study group were higher than those in the control group,and the differences were statistically significant(P<0.05);The diagnostic accuracy of glucose tolerance combined with glycated hemoglobin detection was 88.57%,higher than the 75.71%of glucose tolerance detection(P<0.05).Conclusion HbAlc combined with glucose tolerance test can effectively diagnose gestational diabetes,and has high clinical application value.