摘要
目的 研究糖筛查阳性与妊娠糖尿病 (GDM )的关系及饮食控制的治疗作用。方法 选择 1997年 3月至2 0 0 1年 12月在我院门诊检查的 5 0 g葡萄糖筛查阳性的 783例孕妇 ,再做试验 (糖耐量 ) ,对GDM患者进行饮食控制。同期随机选择在我院门诊检查 10 96例非糖尿病孕妇作为对照组。结果 OGTT试验诊断GDM 42例 ,其中 3 6例经饮食控制即可 ,6例需胰岛素治疗 ;与对照组相比 ,新生儿窒息、吸入性肺炎、畸形率无显著性差异 ;早产儿发病率和巨大儿发生率有显著性增高。结论 糖筛查阳性者OGTT异常检出率高 ;糖筛查可及早发现GDM并及时饮食控制 ,从而减少妊娠并发症 。
Objective To study the relationship between glucose screening and nutritional treatment in gestational diabetes mellitus.Methods 783 pregnant women who showed positive in glucose screening from Mar 1997 to Dec 2001 were selected to perform OGTT.Results And 42 pregnant women was diagnosed as GDM by OGTT.36 pregnant women cured with dietary management,6 need insulin therapy.There was no significant change in neonatal asphyxia,absorbed pneumonia and malformation rate.Significant alteration could been seen in neonatal infirmity and macrosomic infant.Conclusion There was a high detection rate when glucose screening was positive.Glucose screening combined nutritional treatment could decrease gestational complication.
出处
《同济大学学报（医学版）》
CAS
2003年第3期215-217,共3页
Journal of Tongji University(Medical Science)
关键词
糖筛查
妊娠糖尿病
饮食控制
治疗作用
glucose screening
gestational diabetes mellitus
nutritional treatment
