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目的通过在寿阳县医院开展妊娠期糖尿病(GDM)的筛查,初步了解该地区妊娠糖尿病发生率,进行早期干预,针对性治疗,减少孕、产期并发症,提高孕产妇及新生儿的健康水平。方法从2012年8月~2013年8月对我院门诊产前检查24~28周自愿接受糖筛的孕妇286例。将有糖尿病高危因素者纳入B组共80例,无糖尿病高危因素者纳入A组共206例。糖筛方法:空腹血糖(FPG)+75g OGTT,必要时查HbAlc。结果 A组筛出妊娠期糖尿病4例,筛出率为1.94%,B组检出妊娠期糖尿病26例,筛出率为32.50%,两组比较有显著性差异(P<0.05)。结论对患有糖尿病高危因素的孕妇,在孕24~28周行75g OGTT筛查妊娠期糖尿病,简单、经济,检出率高,患者易接受,可降低孕产妇死亡率和新生儿患病率,从而提高妇女儿童健康水平,值得推广。
Objective To investigate gestational diabetes mellitus (GDM) screening in Shouyang County Hospital so as to understand the incidence of gestational diabetes mellitus in the area and make early intervention and targeted treatment to reduce the complications of pregnancy and childbirth and improve the screening rate of pregnant women and newborns Health level. Methods From August 2012 to August 2013, 286 pregnant women who volunteered to undergo saccharification were enrolled in our hospital from 24 to 28 weeks. A total of 80 patients with high risk of diabetes were enrolled in group B, and 206 patients in group A were enrolled in the non-diabetic risk factors. Sugar screening method: fasting blood glucose (FPG) + 75g OGTT, if necessary, check HbAlc. Results In group A, 4 cases of gestational diabetes mellitus were screened out, with a screening rate of 1.94%. In group B, 26 cases of gestational diabetes mellitus were detected. The screening rate was 32.50%. There was significant difference between the two groups (P <0.05). Conclusions Pregnant women with high risk of diabetes mellitus are eligible for screening of gestational diabetes mellitus with 75g OGTT at 24-28 weeks’ gestation, which is simple and economical. The detection rate is high and the patients are easy to accept. It can reduce maternal mortality and neonatal morbidity , Thus improving the health of women and children, which is worth promoting.