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Study of Diagnostic Criteria for Gestational Diabetes Mellitus
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- Author:
- No author available
- Journal Title:
- CHINESE JOURNAL OF PERINATAL MEDICINE
- Issue:
- 3
- DOI:
- 10.3760/cma.j.issn.1007-9408.2001.03.001
- Key Word:
- 糖尿病,妊娠;诊断;葡糖耐量试验
Abstract： 目的探讨妊娠期糖尿病(GDM)的诊断标准. 方法对1 578例孕妇进行血糖筛查试验,阳性者进行葡萄糖耐量试验(OGTT).按照世界卫生组织(WHO)、美国糖尿病资料组(NDDG)和国内(董志光等)三种诊断标准对孕妇进行诊断并分组,随机选择糖筛查试验阴性孕妇100例作为对照组,对四组母儿妊娠结局进行比较. 结果血糖筛查试验阳性276例,OGTT试验达到WHO、NDDG、国内标准者分别为33、60、68例,检出率分别为2.1%(33/1 578), 3.8%(60/1 578),和4.3%(68/1 578).各GDM组间比较,产母重度妊高征、羊水过多、羊水过少、巨大儿的发生率和剖宫产率均无显著性差异(P>0.05),而与对照组相比,存在显著性差异(P<0.05). 结论及时诊断并积极处理GDM对获得良好的妊娠结局是极为必要的.WHO标准过于严格;NDDG标准可以应用,但有漏诊的可能,国内标准有待大样本证实.
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