| IADPSG诊断标准用于北京市妊娠期糖尿病诊断的探讨 |
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| 引用本文： | 商敏,马丽. IADPSG诊断标准用于北京市妊娠期糖尿病诊断的探讨[J]. 中国妇产科临床杂志, 2011, 12(3): 168-171. DOI: 10.3969/j.issn.1672-1861.2011.03.003 |
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| 作者姓名： | 商敏 马丽 |
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| 作者单位： | 1. 北京友谊医院妇产科,100050
2. 北京市通州区永乐店卫生院妇产科 |
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| 摘 要： | 目的探讨国际妊娠期糖尿病专家组（IADPSG）妊娠期糖尿病（GDM）的诊断标准是否适宜。方法对2667例孕妇进行血糖筛查试验,阳性者进行葡萄糖耐量试验（OGTT）。按照教科书和IADPSG两种诊断标准对孕妇进行诊断并分组,非糖尿病孕妇2325例作为对照组,对各组母儿妊娠结局进行比较。结果血糖筛查试验阳性780例,OGTT试验达到教科书标准和IADPSG标准者分别为270例和276例,检出率分别为10.50%和10.72%（P〉0.05）;两种诊断标准各GDM组间比较,产母子痫前期、羊水过多、低出生体重儿、巨大儿的发生率和剖宫产率差异均无统计学意义（P〉0.05）,而与对照组相比,剖宫产率、巨大儿及低出生体重儿发生率差异存在统计学意义（P〈0.05）,IADPSG组产母子痫前期发生率也显著高于对照组（P〈0.05）。结论用IADPSG标准诊断GDM可使治疗更有针对性,需要进一步的临床研究来证明降低GDM的诊断标准能够带来益处。
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| 关 键 词： | 糖尿病 妊娠 诊断 葡萄糖耐量试验 |
Study of diagnostic criteria for gestational diabetes mellitus |
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| SHANG Min,MA Li. Study of diagnostic criteria for gestational diabetes mellitus[J]. Chinese Journal of Clinical Obstetrics and Gynecology, 2011, 12(3): 168-171. DOI: 10.3969/j.issn.1672-1861.2011.03.003 |
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| Authors: | SHANG Min MA Li |
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| Affiliation: | SHANG Min,MA Li.(Department of Obstetrics and Gynecology,Beijing Friendship Hospital,Capital Medical University,Beijing,100050,China) |
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| Abstract: | Objective To study the diagnostic criteria for gestational diabetes mellitus.Methods A total of 2 667 pregnant women received 50 g glucose screening test(GST)between 24 to 28 gestational weeks.Positive subjects received a 75 g oral glucose tolerance test(OGTT).The diagnosis of GDM were according to two diagnostic criteria:Yue Jie and IADPSG(The International Association of Diabetes and Pregnancy Study Groups).2 325 negative screeners were selected as control group.The outcomes of the mother and the neonate ... |
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| Keywords: | diabetes gestational diagnosis glucose tolerance test |
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