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目的:通过1 012例孕妇孕期50g葡萄糖筛查结果分析,了解孕妇妊娠期糖尿病的发病情况,评价50g葡萄糖筛查的临床应用价值,为防治妊娠期糖尿病及妊娠糖耐量受损提供科学依据。方法:对2009年4月1日至2010年9月30日间自愿在景宁县妇幼保健所行50g葡萄糖筛查的1 012例孕妇的筛查结果进行回顾性分析,对阳性者(血糖≥7.8mmol/L)进一步行75g葡萄糖耐量试验。结果:妊娠期糖尿病发生率为2.08%,妊娠期糖耐量受损的发生率为5.53%。糖耐量异常总数发生率为7.61%。结论:通过在孕中期50g葡萄糖筛查,对异常者行糖耐量试验,可以提高妊娠期糖尿病的检出率,为尽早对糖代谢异常妊娠妇女进行干预提供理论依据,减少该病给母儿带来的危害,促进母婴健康。
Objective: To investigate the incidence of gestational diabetes mellitus in pregnant women through the analysis of 50g glucose screening results in 1 012 pregnant women, and to evaluate the clinical value of 50g glucose screening in order to provide a scientific basis for prevention and treatment of gestational diabetes mellitus and gestational impaired glucose tolerance. Methods: A retrospective analysis was performed on the screening results of 1 012 pregnant women who voluntarily performed 50g glucose screening in Maternal and Child Health Care Hospital of Jingning from April 1, 2009 to September 30, 2010. The positive rate (blood sugar ≥7.8mmol / L) Further 75g glucose tolerance test. Results: The incidence of gestational diabetes was 2.08% and the incidence of impaired glucose tolerance during pregnancy was 5.53%. The total incidence of impaired glucose tolerance was 7.61%. Conclusion: Glucose screening in the second trimester of pregnancy, glucose tolerance test abnormalities, can increase the detection rate of gestational diabetes, as soon as possible to provide theoretical basis for intervention in women with abnormal glucose metabolism, reduce the disease to the mother band Hazard to promote maternal and child health.