5小时口服葡萄糖耐量试验在诊断餐后低血糖中的应用 |
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引用本文: | 黄菊芳,蒋培培,王鹂,彭妙官,许燕莉,黎福梅,廖志红.5小时口服葡萄糖耐量试验在诊断餐后低血糖中的应用[J].中华糖尿病杂志,2011(11):844-846. |
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作者姓名: | 黄菊芳 蒋培培 王鹂 彭妙官 许燕莉 黎福梅 廖志红 |
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作者单位: | 中山大学附属第一医院东山院区内科,广州510080 |
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摘 要: | 目的在有或无疑似餐后低血糖症状的受试者中进行5小时口服葡萄糖耐量试验(5hOGTT),探讨OGTT特征及其临床应用价值。方法共纳入27例有疑似餐后低血糖症状的受试者和41例无餐后低血糖症状的受试者,均行82.5g葡萄糖的5hOGTT。结果在无餐后低血糖症状的受试者中共筛查出低血糖6例。在有疑似餐后低血糖的受试者中共筛查出低血糖17例,低血糖再现率83%。诊断服糖后低血糖的人群中IGT伴发率达30%。结论与无餐后低血糖症状人群相比,有疑似餐后低血糖人群中服糖后低血糖的发生率高达63%,服糖后低血糖病例的IGT伴发率达29%。对有疑似餐后低血糖病例进行4hOGTT低血糖筛查敏感性达100%。
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关 键 词: | 口服葡萄糖耐量试验 餐后低血糖 |
The application of 5 hours oral glucose tolerance test in diagnosising postprandial hypoglycemia |
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Institution: | HUANG J u- fang , J IANG Pei-pei ,WANG Li ,et al. Department of Internal Medicine ,Dongshan Division ,First Affiliated Hospital of Sun Yat-sen University, Guangzhou 510080, China |
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Abstract: | Objective To discuss the characteristics and clinical value of OGTT, 5-h OGTT was carried out in subjects with or without suspected postprandial hypoglycemia symptoms. Methods 27 subjects with suspected postprandial hypoglycemia symptoms and 41 subjects without postprandial hypoglycemia symptoms accepted 82.5g 5-h OGTT. Results In group without postprandial hypoglycemia symptoms, 6 cases hypoglycemia were detected. In group with suspected postprandial hypoglycemia symptoms, 17 cases hypoglycemia were detected. The reappearance rate of hypoglycemia was 83%. In all hypoglycemia cases, the incidence of IGT reached 30%. Conclusion As compared to the group without postprandial hypoglycemia symptoms, the incidence of hypoglycemia in the group with suspected post-prandial hypoglycemia symptoms is higher, reaching 63%. At the same time, the incidence of IGT reaches 29% . In patients with suspected postprandial hypoglycemia symptoms, the sensitivity of detecting hypoglycemia reaches 100% by 4-h OGTT. |
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Keywords: | OGTT Hypoglycemia |
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