糖耐量检测诊断妊娠期糖尿病的临床探讨

目的：探讨减少糖耐量实验（OGTT）中空腹血糖检测对诊断妊娠期糖尿病的可行性。方法：对2009年1月1日～2009年12月31日在我院建卡产检分娩,确诊为妊娠期糖尿病的97例孕妇的OGTT四次检测结果进行回顾性分析,将四次血糖检测（空腹、服糖后一小时、服糖后两小时、服糖后三小时）作为金标准,取服糖后一小时、服糖后两小时、服糖后三小时血糖值为三点法一组;取空腹、服糖后一小时、服糖后两小时血糖值为三点法二组;取服糖后一小时、服糖后两小时作为两点法组,比较三种方法的诊断率。结果：四点法与三点法一组诊断率无明显统计学差异,四点法与三点法二组及两点法诊断率有明显统计学差异。结论：减少空腹血糖检测可减少抽血次数,漏诊率低,孕妇依从性强,可节约有限医疗资源,简单,方便,易掌握,适宜各级医疗机构开展。

Sugar tolerance examination diagnosis gestation period diabetes clinically to discuss

Objective：The discussion reduction sugar tolerance tests in （OGTT） the empty stomach blood sugar examination to diagnose the gestation period diabetes the feasibility. Methods： -2009 years on December 31 constructs the card to January 1,2009 in my courtyard to produce examines the childbirth,diagnoses carries on the review analysis for the gestation period diabetes 97 example pregnant woman＇s OGTT four examination result, four blood sugar examinations （empty stomach, clothing sugar latter hour, clothing sugar latter two hour, clothing sugar latter three hours） took the golden standard, takes the clothing sugar latter hour, the clothing sugar latter two hour, the clothing sugar latter three hours blood sugar values for a three--point method group;Takes the empty stomach, the clothing sugar latter hour,the clothing sugar latter two hours blood sugar values for the three--point method two groups; Takes the clothing sugar latter hour, the clothing sugar latter two hour achievement two--point problem group, com- pared with three method diagnoses rate. Results：The {our point method and a three--point method group diagnose rate the not obvi- ous statistics difference, the four point method and the three--point method two group of and the two--point problem diagnosis rate have the obvious statistics difference. Conclusion： The reduced empty stomach blood sugar examination may reduce draws blood the number of times, the rate of missed diagnosis is low, the pregnant woman complies is strong, may save the limited medical resources, simple,convenient, easy to grasp, the being suitable all levels of medical establishment develops.