孕妇血糖筛查结果及临床特征277例分析

对我院营养门诊277例孕妇临床资料进行回顾性分析，其中妊娠糖尿病（GDM）组64例，糖耐量低减（GIGT）组85例，正常组128例（包括糖尿病筛查正常组84例及糖尿病筛查异常且糖耐量试验正常者44例）。结果糖筛查异常孕妇有糖尿病家族史的比例高于糖筛查正常组（P〈0.05）；GDM组年龄高于GIGT组及正常组（P〈0.05）。GIGT组与正常组年龄无差异（P〉0.05）；GIGT组孕前及糖筛查时体重均高于正常组（P〈0.05）；各组孕妇首诊至糖筛查检查时血脂水平均呈上升趋势（P〈0.05），且首诊时GDM组及GIGT组血脂水平高于正常组（P〈0.01）。

Clinical characteristics of 277 pregnant women with blood glucose screening

Clinical data of 277 pregnant women attended to nutrition clinic at Haidian District Maternity and Children's Hospital,Beijing were analyzed retrospectively,including 64 cases of gestational diabetes mellitus(GDM),85 cases of gestational impaired glucose tolerance(GIGT)and 128 normal women(84 normal fasting blood glucose and 44 abnormal fasting blood glucose but normal glucose challenge test,GCT).There was a higher proportion of pregnant women with family history of diabetes among those with abnormal GCT.as compared to those with normal GCT(P＜0.05).Mean age was significantly higher in women with GDM than that in normal ones(P＜0.05),but no statistically significant difference in it was found between women with GIGT and normal GCT(P＞0.05).Body weight in women with GIGT was higher both before pregnancy and at GCT than that in normal ones(P＜0.05).Serum levels of total cholesterol and triglyceride presented an increasing trend in pregnant women of varied groups since their first prenatal care visits(P＜0.05),higher in those with GDM and/or GIGT than those in normal ones(P＜0.01).