50g葡萄糖筛查阳性与妊娠期糖尿病关系的探讨

摘要

Objective:To study the relationship between peroral 50g glucosescreening test(GST)positive and gestational diabetes mellitus (GDM).Methods:From March 1997 to June 2000,216 pregnant women who showed 50g GST positive were studied in Gongli Hospital of Pudong.According to oral glucose tolerance test OGTT,we divided the pregnant women into normal OGTT,abnormal OGTT(IGT) and GDM groups.Results:Positive GST was closely correlated with abnomal OGTT．Women who had GDM high risk factors and GST positive existed a high rate of abnomal OGTT．Woman with 50g GST≥10mmol/L had a high rate of GDM.Conclusion:50g GST is a useful method of predicting gestational diabetes mellitus.%目的：进一步探讨50g葡萄糖筛查(糖筛查)阳性与妊娠糖尿病(GDM)的关系。方法：选择1997年3月～2000年6月在我院门诊检查孕妇中50g葡萄糖筛查阳性的216例孕妇，全部通过糖耐量(OGTT)试验，并分为三组：正常组、OGTT异常(IGT)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。结论：糖筛查对诊断GDM是十分必要的。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试验，及早发现，及早处理。