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目的 探讨妊娠妇女不同糖耐量受损 (GIGT)诊断标准与妊娠结局的关系。方法 2 4 5 5例孕妇行5 0 g葡萄糖筛查 ,4 12例异常者行 75 g葡萄糖耐量试验 (OGTT) ,分别比较OGTT第 2小时血糖 6 .7～ 9.1mmol/L者 (GIGT 1组 ) 14 9例、单项值异常者 (GIGT 2组 ) 5 7例、妊娠期糖尿病者 (GDM组 ) 71例及对照组的妊娠预后。结果 GIGT1组、GIGT2组、GDM组都有不同程度的高危因素 ,其妊娠高血压综合征、羊水过多、巨大儿、剖宫产率、新生儿病率 (新生儿窒息、新生儿低血糖、低血钙、新生儿高胆红素血症 )的发生率明显高于对照组 (P <0 .0 5 ) ,并呈递增趋势 ,但GIGT 1组和GIGT 2组间无显著性差异。GIGT1组、GIGT2组在发病的高危因素方面有显著性差异 ,但两组对妊娠结局的影响是一样的。结论 GIGT(1组、2组 )对妊娠可造成不同程度的危害 ,GIGT2组与GDM组有相似的不良妊娠结局
Objective To explore the relationship between gestational pregnancy outcomes and diagnostic criteria of different impaired glucose tolerance (GIGT) in pregnant women. Methods Twenty-five (5) cases of pregnant women underwent 50 g glucose screening and 4 12 patients with abnormalities underwent 75 g glucose tolerance test (OGTT). The levels of blood glucose of 6.7-7.1 mmol / L in the second hour of OGTT were compared (GIGT1 group ), 14 9 cases of abnormal single item (GIGT 2 group) 57 cases, gestational diabetes (GDM group) 71 cases and control group of pregnancy prognosis. Results The GIGT1, GIGT2 and GDM groups all had different risk factors, such as pregnancy induced hypertension syndrome, polyhydramnios, macrosomia, cesarean section rate, neonatal morbidity (neonatal asphyxia, neonatal hypoglycemia, Hypocalcemia, neonatal hyperbilirubinemia) was significantly higher than that of the control group (P <0.05), and showed an increasing trend, but there was no significant difference between GIGT 1 group and GIGT 2 group. GIGT1 group, GIGT2 group in the incidence of risk factors have significant differences, but the two groups on the impact of pregnancy is the same. Conclusion GIGT (group 1, group 2) may cause different degrees of harm to pregnancy, GIGT2 group and GDM group have similar adverse pregnancy outcomes