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目的:为使糖尿病筛查(以下简称糖筛查)阳性的孕妇能够进一步做好糖耐量试验(OGTT),争取好的转归。通过健康教育,使孕妇消除对糖耐量试验的恐惧心理,了解糖耐量试验的目的、方法,以及糖耐量异常对母婴健康的影响,能够配合糖耐量试验。方法:在围产保健门诊检查的孕24～28周566例孕妇,口服50 g葡萄糖负荷试验(GCT)进行糖尿病筛查。结果:阳性者(血糖值≥7.8 mmol/L)共152例,糖筛查阳性发生率为26.86%。对糖筛查阳性孕妇进行糖耐量试验,妊娠期糖耐量减低(GIGT)者24例,发生率4.24%,妊娠糖尿病(GDM)者15例,发病率2.65%。对39例患者进行健康教育(包括饮食控制、适量运动、合理使用药物),5～6周后再次进行糖耐量试验,其中24例GIGT患者中有14例正常;15例GDM中显著好转8例。结论:加强定期产前检查、做好母婴保健的健康教育和预防妊娠期糖尿病相关知识的健康指导,使孕妇了解糖耐量试验筛查对妊娠期合并糖尿病的早发现、早诊断、早治疗的重要性,及早采取措施有利于母婴健康。
OBJECTIVE: To make the glucose tolerance test (OGTT) more successful for pregnant women with diabetes screening (hereinafter referred to as sugar screening) for good outcome. Through health education, pregnant women to eliminate the fear of glucose tolerance test to understand the purpose of glucose tolerance test, methods, and impaired glucose tolerance of maternal and child health effects, with glucose tolerance test. Methods: 566 pregnant women at 24-28 weeks of gestation during outpatient health check-up were enrolled in this study. Diabetes was screened by 50 g oral glucose load test (GCT). Results: Positive (glucose value ≥ 7.8 mmol / L) were 152 cases, the positive rate of sugar screening was 26.86%. Glucose tolerance test was performed on pregnant women with positive sugar screening. The incidence of gestational diabetes mellitus (GDM) in 24 cases was 4.24%, and the incidence of gestational diabetes mellitus (GDM) was 15 cases. The incidence rate was 2.65%. 39 patients were health education (including diet control, moderate exercise, rational use of drugs), 5 to 6 weeks after the glucose tolerance test again, of which 24 cases of GIGT in 14 cases were normal; 15 cases of GDM significantly improved in 8 cases . Conclusion: To strengthen regular prenatal care, good health care of maternal and child health and prevention of gestational diabetes related to health guidance, so that pregnant women understand glucose tolerance test screening for early detection of pregnancy-associated diabetes, early diagnosis and early treatment Importance, early measures to promote maternal and child health.