【摘要】 目的 对妊娠期糖尿病(GDM)筛查的必要性、适宜时间、临界值及巨大儿的发生进行探讨。方法 回顾性分析1997年10月至1999年9月在北京协和医院行产前检查及分娩的1935例初产妇,孕1～4次。结果 妊娠期糖耐量低减(IGT)及GDM的发生率在孕24周以后无差异。OGT异常者分娩巨大儿较葡萄糖负荷试验(OGT)正常者高。50g糖筛查值在7.8～8.3mmol/L(140～149 mg/dl)的159例孕妇,只有2例诊为IGT,无一例为GDM。结论 在孕24周以后尽可能早地对孕妇进行50g糖筛查是必要的。对于OGT异常者应予以重视,对IGT及GDM者应积极控制血糖。对于高危人群必要时重复筛查。更多还原

【Abstract】 Objective To study the importance,time of screening,cut off value,and incidence of macrosonia fetal pregnant women with gestational diabetes mellitus (GDM). Methods From October 1997 to September 1999,A descriptive,retrospective study of 1935 primiparae admitted in Peking Union Hospital was made. SPSS 8.0 was used in the data analysis. Results There was no difference in the incidence rate of IGT and GDM after 24 weeks. Abnormal oral glucose test (OGT) deliver-ied more macrosoniia than normal OGT. There were 159 cases whose 50g OGT value range 140 ~ 149mg/dl,in which only 2 cases were diagnosed IGT,but no GDM. Conclusions It is nessessary to screen GDM as soon as possible after 24 weeks of pregnancy. Doctors should pay attention to abnormal OGT,especially those with high risk pregnancies. We should control the level of sera glucose on IGT and GDM pregnancies.更多还原