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为了解妊娠期糖尿病患者产后糖尿病的发生率及其高危因素 ,随访分析复查 2 8例曾患妊娠期糖尿病患者 ,经口服 75 g葡萄糖耐量试验检查 ,按 1980年WHO糖尿病诊断标准分组 ,同时对各组相关因素进行比较。 12例 (4 2 .86 % )发展为糖尿病 (DM) ,其中 4例 (14.2 8% )在产后 42天内明确诊断 ,10例 (35 .71% )糖耐量异常 (IGT) ,6例 (2 1.43 % )正常 ;与IGT组、正常组相比 ,DM组妊娠期糖尿病确诊孕周明显提前 (P <0 .0 5 )。结果提示妊娠期糖尿病患者是Ⅱ型糖尿病的高危人群 ,产后应定期随访 ,以便及早诊断糖尿病
To understand the incidence of postpartum diabetes mellitus and its risk factors in patients with gestational diabetes mellitus, follow-up analysis of 28 cases of patients with gestational diabetes mellitus, oral glucose tolerance test of 75 g, according to the 1980 WHO diagnostic criteria for diabetes at the same time each Group related factors were compared. 12 cases (42.86%) developed diabetes mellitus (DM), of which 4 cases (14.28%) were diagnosed within 42 days postpartum, 10 cases (35.71%) had IGT, 6 cases 1.43%) were normal. Compared with the IGT group and the normal group, gestational diabetes in the DM group was significantly earlier gestational week (P <0.05). The results suggest that gestational diabetes patients are at high risk of type II diabetes, postpartum should be regularly followed up in order to early diagnosis of diabetes