2306例孕妇糖耐量筛查及影响因素分析

目的:了解妊娠期糖代谢异常的发生率,探讨其相关因素,为制定干预措施提供科学依据。方法:对2 306例孕妇进行50 g葡萄糖筛查试验(GCT),50 g GCT结果≥7.8 mmol/L再行口服葡萄糖耐量试验(OGTT)明确诊断,将临床资料进行统计分析。结果:妊娠期50 g GCT阳性率20.77%。其中葡萄耐量降低发生率4.16%,妊娠期糖尿病(GDM)检出率3.64%。高龄、孕前肥胖及糖尿病家族史为妊娠期糖代谢异常的相关因素。结论:GDM母儿并发症多,50 g GCT对GDM的及时发现和管理具有重要的意义。妊娠期糖耐量异常的发生率与孕妇的年龄、孕前体重指数及糖尿病家族史相关。做好孕前保健工作,按时对孕妇进行50 g GCT检测,特别是对GDM高危孕妇的筛查与管理有非常重要的临床意义。

Analysis of glucose tolerance screening and its influence factors of 2 306 pregnant women

Objective:To understand the incidence of abnormal gestation sugar metabolism,discuss its related factors,and provide scientific basis to intervention measures.Methods:2 306 pregnant women were detecting by 50g glucose screening test(GCT),the pregnant women whose GCT result≥7.8 mmol/L were diagnosed by the oral glucose tolerance test(OGTT),then the clinical data were statistically analyzed.Results:The positive rate of 50g glucose screening test was 20.77%,the incidence of lower glucose tolerance was 4.16%,the incidence of gestational diabetes mellitus(GDM) was 3.64%.The senility,obesity before gestation and family diabetes history ware related factors of abnormal gestation sugar metabolism.Conclusion:The complications are a lot for the maternal and fetal with GDM.50g GCT has a vital significance to GDM's timely discovery and management.The incidence of abnormal gestation glucose tolerance is related to age,body mass index before gestation and family diabetes history of pregnant women.It's very important for screening and management of pregnant women with GDM to care before gestation,do GCT detection timely