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目的比较葡萄糖筛查试验和葡萄糖耐量试验诊断妊娠期糖尿病的效果。方法对知情自愿孕妇施行葡萄糖筛查试验,筛查阳性者再施行葡萄糖耐量试验。结果葡萄糖筛查试验检查681例孕妇,得到阳性78人,阳性率为11.45%;78人再施行葡萄糖耐量试验,得到阳性65人,阳性率为9.54%,占筛查阳性人数的83.33%。两种试验在妊娠期糖尿病检出率中的差别无统计学意义(χ2=1.32,P=0.25,P>0.05)。结论葡萄糖筛查试验对妊娠期糖尿病有较好检出率,是一种可以全面普及的简单易行的妊娠期糖尿病检查方法。
Objective To compare the effects of glucose screening test and glucose tolerance test in the diagnosis of gestational diabetes mellitus. Methods Glucose screening test was carried out on volunteer pregnant women with informed consent. Glucose tolerance test was performed after screening. Results In the glucose screening test, 681 pregnant women were tested positive, 78 were positive, the positive rate was 11.45%; 78 were further impaired glucose tolerance test, 65 were positive, the positive rate was 9.54%, accounting for 83.33% of the positive screening number. There was no significant difference between the two tests in the detection rate of gestational diabetes (χ2 = 1.32, P = 0.25, P> 0.05). Conclusion Glucose screening test has a good detection rate of gestational diabetes mellitus, which is a simple and universal method of gestational diabetes examination that can be widely used.