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目的探讨动态血糖监测系统(CGMS)在妊娠期糖尿病患者中的应用价值。方法将30例孕妇分为50 g葡萄糖负荷试验(GCT)正常组、异常组及妊娠糖尿病(GDM)组,每组10例,采用CGMS进行连续3 d血糖监测。结果GDM组整体血糖波动系数,空腹血糖平均值,餐后血糖平均值,患者早、中、晚餐三餐达到餐后血糖峰值,低血糖及高血糖事件发生次数均明显高于其他两组(P均<0.05)。结论 CGMS能够准确反映出GDM患者的完整血糖变化,可增强患者对饮食控制、运动疗法、胰岛素治疗的依从性,对改善母婴结局具有重要意义。
Objective To investigate the value of dynamic glucose monitoring system (CGMS) in gestational diabetes mellitus. Methods 30 pregnant women were divided into normal glucose tolerance test group (GCT) group, abnormal group and gestational diabetes mellitus (GDM) group, 10 cases in each group. CGMS was used to monitor blood glucose for 3 consecutive days. Results In the GDM group, the overall blood glucose fluctuation coefficient, fasting blood glucose and mean postprandial blood glucose in patients with GDM were significantly higher than those in the other two groups (P All <0.05). Conclusion CGMS can accurately reflect the changes of complete blood glucose in patients with GDM, can enhance the patient’s compliance with diet control, exercise therapy and insulin therapy, and is of great significance to improve the outcome of maternal and infant.