目的:探讨糖耐量减低的晚期妊娠妇女胰岛素抵抗水平及相关因素.方法:回顾性分析2008年6月～2010年6月我院收治的112糖耐量减低的晚期妊娠妇女的临床资料,设为观察组;并以我院同期收治的112例健康妊娠妇女为对照组.比较两组监测结果异同.结果:观察组患者空腹血糖、餐后2 h血糖、空腹胰岛素、餐后1 h胰岛素水平及糖化血红蛋白水平明显高于对照组,两组比较,差异具有统计学意义(P<0.05),观察组体重指数异常比例明显高于对照组,经x2检验组间差异具有统计学意义(P<0.05).结论:妊娠晚期对糖耐量减低的孕妇进行监测,并根据监测结果进行适当的对症处理具有重要的临床意义.%Objective: To discuss the insulin resistance level of the late pregnant women with gestational impaired glucose tolerance and the related factors. Methods: The clinical data of 112 late pregnant women with gestational impaired glucose tolerance from June 2008 to June 2010 were retrospectively analyzed, as the observation group; and with our period of 112 healthy pregnant women were chose as control group, two sets of monitoring results were compared. Results: In the observation group, the fasting blood glucose, 2 hours blood sugar, fasting insulin, postprandial 1 hour insulin levels and glycated hemoglobin levels significantly higher than those in the control group, the differences were statistically significant in the two groups (ρ＜0.05). The observation group body—mass index proportion, abnormal markedly higher than those in control group, by χ2 test, the differences were statistically significant (ρ＜0.05). Conclusion: Monitoring third—trimester patient with gestational impaired glucose tolerance, and it is proper received alimta according to the monitoring results, and has an important clinical significance.
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