现代妇产科进展2016，Vol.25Issue(4)：265-268,4.DOI:10.13283/j.cnki.xdfckjz.2016.04.007
妊娠期糖尿病75gOGTT不同时点血糖异常孕妇的临床特点与妊娠结局分析
Clinical characteristics and pregnancy outcomes of gestational diabetes mellitus women of abnormal blood glucose of 75g OGTT
摘要
Abstract
Objective:To investigate the clinical characteristics and pregnancy out-comes of gestational diabetes mellitus(GDM) women of abnormal blood glucose of 75g OGTT. Methods:A total of 150 cases,who were diagnosed as gestational diabetes mellitus and received prenatal examination and delivered in North China University of Science and Technology Affilia-ted Hospital from Jan. 2013 to Mar. 2015,were divided into 3 groups on the basis of each time point blood glucose results in 75g OGTT. GDMⅠ:one abnormal blood glucose of OGTT result, GDMⅡ:two abnormal blood glucose and GDMⅢ:three abnormal blood glucose. Results:(1) The pre-pregnancy body mass index ( BMI ) in GDMⅢ were significantly higher than that in GDMⅡ and GDMⅠ ( P<0 . 05 ) . ( 2 ) The usage rate of insulin in GDMⅢ were higher than those in GDMⅡ and GDMⅠ ( P<0 . 05 ) . ( 3 ) The OGTT results and FINS and HOMA-IR in GDMⅢ were higher than those in GDMⅡand GDMⅠ(P<0. 05). (4)The rates of fetal mac-rosomia in GDMⅢwas higher than GDMⅡand GDMⅠ( P<0 . 05 ) . Conclusion:The pregnant women that three abnormal blood glucose in OGTT had obvious clinical characteristics including high pre-pregnancy body mass index, the high usage rate of insulin, increased insulin resist-ance,high incidence of macrosomia. High attention and positive intervention should be given to those patients with high blood glucose levels in OGTT.关键词
妊娠期糖尿病/糖耐量试验/巨大儿Key words
Gestational diabetes mellitus/Oral glucose tolerance/Macrosomia分类
医药卫生引用本文复制引用
张晓,周剑利,邢军,白洁,赵楠楠,高杰..妊娠期糖尿病75gOGTT不同时点血糖异常孕妇的临床特点与妊娠结局分析[J].现代妇产科进展,2016,25(4):265-268,4.基金项目
2014年度河北省医学科学研究重点课题计划(No:ZD20140139) （No:ZD20140139）
