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Feasibility of diagnosing gestational diabetes mellitus by Oral Glucose Tolerance Test without the third-hour plasma glucose level
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- Author:
- No author available
- Journal Title:
- CHINESE JOURNAL OF PERINATAL MEDICINE
- Issue:
- 2
- DOI:
- 10.3760/cma.j.issn.1007-9408.2005.02.005
- Key Word:
- 糖尿病,妊娠;葡糖耐量试验
Abstract： 目的研究妊娠期口服葡萄糖耐量试验(oral glucose tolerance test,OGTT)三次取血诊断妊娠期糖尿病(gestational diabetes mellitus,GDM)的可行性.方法对404例50 g葡萄糖负荷试验阳性的孕妇行OGTT检查. 结果以美国糖尿病协会(American Diabetes Association,ADA)标准诊断GDM者111例,葡萄糖耐量受损(impaired glucose tolerance test,IGT)者72例,OGTT正常者221例;若不计服糖后3 h血糖值,则诊断GDM者106例,IGT者71例,漏诊率分别为4.5%和1.4%.6例漏诊孕妇与OGTT正常的50 g GCT阳性的221例孕妇相比,其妊高征、巨大儿、大于胎龄儿和Apgar评分≤3分的发生率差异无统计学意义(16.6%和8.1%、16.6%和6.3%、50.1%和24.4%、0和0.9%,P均＞0.05).结论OGTT三次取血操作次数少、漏诊率低,临床上可作为GDM的诊断标准.
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