妊娠期糖尿病新标准的临床应用
The clinical application of new standard of gestational diabetes mellitus
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摘要: 目的:探讨妊娠期糖尿病(GDM)新标准在临床上的实用性。方法:随机选取800例孕妇作为研究组,孕24周后,按新标准进行75 g口服葡萄糖耐量试验(OGTT);另随机选取750例孕24周后的孕妇作为对照组,先行50 g OGTT,糖筛异常者再行75 g OGTT。结果:研究组孕妇筛查率为97.50%,GDM患病率为6.25%;对照组孕妇筛查率为87.07%,GDM患病率为4.13%。研究组孕妇筛查率明显高于对照组(P0.01),2组GDM患病率差异无统计学意义(P0.05)。结论:GDM筛查新标准的应用,简化了筛查程序,临床应用更方便,筛查率高于传统筛查法,大大降低漏诊率。Abstract: Objective:To investigate the clinical application of new standard of gestational diabetes mellitus(GDM).Methods:Eight hundred pregnant women(study group) were tested by 75 g oral glucose tolerance test(OGTT) according to the new standard after 24 weeks of pregnancy.Seven hundred and fifty pregnant women(control group) were tested by 50 g OGTT,then 75 g OGTT was added in the patients with sugar sieve abnormality after 24 weeks of pregnancy.Results:The pregnant women screening rate of study group(97.50%) was significantly higher than that in control group(87.07%) (P 0.01).The prevalence rate of GDM in study group and control group were 6.25% and 4.13%,respectively,the difference of which was not statistical significance(P 0.05).Conclusions:The screening rate of study group is better than that in control group,its prevalence rate of GDM increases according to new standard.
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