延安地区妊娠期糖尿病筛查

目的通过在延安大学附属医院开展妊娠期糖尿病的筛查,进行针对性治疗,减少孕、产期并发症,提高孕产妇及新生儿的健康水平。方法从2010.1～2012.1对我院门诊产前检查24～28周自愿接受糖筛的孕妇1470人按有无糖尿病高危因素进行分组,将无糖尿病高危因素的分为A组共930人,将有糖尿病高危因素孕妇分为B组共540人,糖筛的方法:空腹血糖(FPG)+75 gOGTT,必要时查HbA1c。结果 A组,失访,460人,通过常规产前检查无异常,再进行空腹血糖(FPG)+75 gOGTT筛查,筛出妊娠期糖尿病3人,筛出率为0.3%,失访率高达49.4%,B组,失访4人,有糖尿病高危因素,或通过常规产前检查尿糖阳性,检出妊娠合并糖尿病112人,筛出率为20.7%,失访率0.7%,患者依从性好,以上均有显著性差异,P<0.05。结论延安地区妊娠期糖尿病筛查,对常规产前检查尿糖阳性及有糖尿病高危因素的患者行空腹血糖(FPG)+75 gOGTT,必要时查HbA1c方法筛查妊娠期糖尿病,简单,经济,检出率高,患者容易接受,降低孕产妇死亡率和新生儿患病率,从而提高妇女儿童健康水平,值得推广。

Screening For Gestational Diabetes Mellitus in YanAN Region

Objective To reduce complications of pregnancy and childbirth and tto improve maternal and newborn health by screening for gestational diabetes mellitus. Method From 2010 -01 -2012 -01, 1470 of 24 ~ 28 week pregnant women access to voluntary screening for gestational diabetes mellitus were grouped according to with or without risk factors of diabetes ; no risk factors are divided into group A, a total of 930, rick factors into group B, a total of 540 people. Screening include gestational diabetes millitus FPG ＋ 75g OG33＂. In necessary , cheek the glyyo- sylated hemoglobin. Results the group of A,460 persons lost to follow -up, by routine antenatal cheeks no excep- tions for FPG ＋ 75gOGTT, Detected in patients with gestational diabetes mellitus 3 people, detection rate of 0.3 per cent,loss to follow- up of 49.4 per cent. The group of B ,4 persons lost to follow -up, people who have diabetes risk factors , through positive for urine routine inspection identified people , 112 people confirmed patients , detec- tion rate of 20.7 per cent , loss to follow -up of 0.7 per cent. The compliance of patients with good , compared to both have sighificant differences, P 〈 0.05. Conclusion screening for GDM in Yan＇ an area , regular antenatal urine positive and risk factors in patients with FPG ＋75g OGTT in necessary check the glycosylated hemoglobin methods , simple, economic, high detection rate, patients with affordable, reducing maternal mortality and neonatal morbidi- ty, so as to improve the health of women and children, so it＇s worth promoting.