摘要
①目的探讨妊娠期糖尿病(GDM)孕妇产后2个月75g葡萄糖耐量(OGTT)试验结果及其相关的临床因素。②方法对98例GDM孕妇于产后2个月行OGTT试验,根据结果进行再分类,分为糖尿病(DM)组21例、糖耐量减低(IGT)组24例和血糖正常组53例,对其相关的临床因素进行分析。③结果DM组诊断为GDM的孕周早于其他两组,孕期的50g葡萄糖筛查试验(GCT)血糖水平及OGTT中的空腹血糖水平均高于其他两组,差异有显著性(F=4.40～8.30,q=3.19～5.75,P<0.05)。DM组孕妇胰岛素使用率高于正常组(χ2=5.47,P<0.05),开始使用胰岛素孕周早于其他两组(F=4.97,q=4.39、3.19,P<0.01)。④结论GDM孕妇中表现为发病早、GCT血糖值高、空腹血糖高、胰岛素使用率高者常预示产后糖代谢异常将持续存在。
Objective To observe the result and relative clinical factors of the 75 g oral glucose tolerance test（OGTT） in gestational diabetes mellitus （GDM） at two months after delivering. Methods OGTT was carried out in 98 GDM patients at two months after delivering. The patients were divided into three groups： diabetes mellitus （DM） group, impaired glucose tolerance （IGT） group, and normal group. The relative clinical factors were analyzed. Results In the DM group, the gestational age at diagnosis was much earlier than in the other two groups. The glucose level of GCT and fasting blood glucose level of OGTT were significantly higher than those of the other two groups （F= 4.40-8. 30, q= 3. 19- 5.75, P〈0.05）. The gestational age of use of insulin in DM group was the earliest in the three groups （F=4.97;q=4.39,3.19;P〈0.01）. In the DM group, the frequency of using insulin was much more than the other two groups （χ^2=5.47, P〈0.05）. Conclusion The GDM patients characterize as early diagnosis, high glucose level of GCT, high fasting blood glucose. Those who use more frequency of insulin are likely to keep abnormal metabolism of glucose after delivering.
出处
《齐鲁医学杂志》
2005年第6期491-492,共2页
Medical Journal of Qilu
关键词
糖尿病
妊娠
血糖
糖耐量试验
diabetes, gestational
blood glucose
oral glucose tolerance test
