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目的 进一步探讨糖筛查阳性与GDM的关系。方法 选择 1997年 3月～ 1998年 2月在我院门诊检查孕妇中 50g葡萄糖筛查阳性的 4 17例孕妇 ,全部通过OGTT试验 ,并分为三组 :正常组、OGTT异常组、GDM组 ,并就研究项目进行分组对照研究。结果 ①糖筛查阳性与OGTT异常检出密切相关 ;②伴随高危因素其糖筛查阳性的OGTT异常检出率明显增加 ;③糖筛查值≥ 10mmol/L时 ,其GDM发生率上升明显 ;④各个孕周筛查OGTT异常 ,检出无显著性差异 ,孕早期仍有 2 7 3%GDM被检出。结论 糖筛查对诊断GDM是十分必要的。尤其结果为阳性的孕妇 ,无论任何孕周都是有意义的 ,即便是孕早期发现糖筛查阳性 ,均应及时行OGTT检查 ,以便及时诊断。特别是伴有高危因素的孕妇 ,或糖筛查值≥ 10mmol/L的孕妇 ,应高度警惕GDM的发生 ,及时行OGTT ,及早发现 ,及早处理。
Objective To further explore the relationship between glycogen screening and GDM. METHODS: From March 1997 to February 1998, 417 pregnant women with 50g glucose screening test in pregnant women in our hospital were all tested by OGTT and divided into three groups: normal group, abnormal OGTT group, GDM group, And group research on research projects. Results ① The positive results of sugar screening were closely related to the detection of OGTT abnormalities. ② The detection rate of OGTT abnormalities with sugar screening positive with the risk factors increased significantly. ③The incidence of GDM increased significantly when the sugar screening value was ≥ 10mmol / L. ④ All gestational weeks screening for OGTT abnormalities, no significant difference was detected in early pregnancy, there are still 273% GDM was detected. Conclusion Sugar screening is very necessary for the diagnosis of GDM. In particular, positive results for pregnant women, regardless of any gestational week are meaningful, even if found in early pregnancy, positive sugar screening should be timely OGTT line examination for timely diagnosis. Especially pregnant women with high risk factors or pregnant women with sugar screening ≥ 10mmol / L should be highly vigilant in the occurrence of GDM. OGTT should be promptly performed and detected as soon as possible.