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妊娠期糖尿病空腹血糖筛查的意义及其对妊娠结局的影响

车荣华

国际妇产科学杂志2012,Vol.39Issue(4):376-379,4.
国际妇产科学杂志2012,Vol.39Issue(4):376-379,4.

妊娠期糖尿病空腹血糖筛查的意义及其对妊娠结局的影响

The Significance of Fasting Plasma Glucose Screening for Gestational Diabetes Mellitus and Effect on Pregnancy Outcome

车荣华1

作者信息

  • 1. 上海市闵行区中心医院妇产科
  • 折叠

摘要

Abstract

The incidence of gestationai diabetes mellius (GDM) is increasing year by year,adverse pregnancy outcomes are strongly associated with fasting plasma glucose level. With increasing fasting glucose levels,considered a normo-glycemia range,the risk of large-for-gestational-age (LGA) neonates and/or macrosomia,primary cesarean section,neonatal hypoglycemia,hyperinsulinemia and later diabetes is increasing. The diagnosis and treatment of GDM,in early pregnancy,may help to improve pregnancy outcomes. Using fasting plasma glucose as a screening test for GDM has been getting attention. It is easy to administer,inexpensive,reproducible and easily accepted by pregnant women. Currently,most results indicate a fair correlation between first-trimester fasting glucose level and glucose challenge test (GCT) and oral glucose tolerance test (OGTT). Moreover,it can signifinantly decrease the number of OGTTs needed for the diagnosis of GDM. The FPG as a screening test for GDM have a higher value.

关键词

糖尿病,妊娠/血糖/妊娠结局/普查/葡萄糖耐量试验

Key words

Diabetes, gestationai/Blood glucose/Pregnancy outcome/Mass screening/Glucose tolerance test

引用本文复制引用

车荣华..妊娠期糖尿病空腹血糖筛查的意义及其对妊娠结局的影响[J].国际妇产科学杂志,2012,39(4):376-379,4.

国际妇产科学杂志

OACSTPCD

1674-1870

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