100g口服葡萄糖耐量试验中低血糖的发生率和围生期意义

来源 :世界核心医学期刊文摘(妇产科学分册) | 被引量 : 0次 | 上传用户:BenBenBenBen
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OBJECTIVE: To estimate and report the incidence and perinatal significance of hypoglycemia during the 100- g oral glucose tolerance test in pregnant women. METHODS: Over a 3- year period, we analyzed the incidence and perinatal outcome of pregnant women who experienced hypoglycemia, defined as a plasma glucose level of 50 mg/dL or less while undergoing the 100- g oral glucose tolerance test. The study group included women who delivered singletons at term. Women who underwent the 100- g oral glucose tolerance test during the same period and had no hypoglycemia served as the control group. RESULTS: A total of 805 women were included in the study, which comprised 51 women (6.3% ) who experienced hypoglycemia during the test and 754 women in the control group. Gestational diabetes mellitus was diagnosed in 5/51 (9.8% ) women in the study group, compared with 216/754 (28.6% ) women in the control group (P < .03), and the neonates born to these women had significantly lower birth weights. CONCLUSION: The incidence of reactive hypoglycemia during the 100- g oral glucose tolerance test in our population is 6.3% . Women who experience hypoglycemia during the test have a significantly lower incidence of gestational diabetes and neonatal birth weights. OBJECTIVE: To estimate and report the incidence and perinatal significance of hypoglycemia during the 100- g oral glucose tolerance test in pregnant women. METHODS: Over a 3- year period, we analyzed the incidence and perinatal outcome of pregnant women who experienced hypoglycemia, defined as a plasma glucose level of 50 mg / dL or less while under the 100-g oral glucose tolerance test. The study group included women who delivered singletons at term. Women who underwent the 100- g oral glucose tolerance test during the same period and had no hypoglycemia served as the control group. RESULTS: A total of 805 women were included in the study, which comprised 51 women (6.3%) who experienced hypoglycemia during the test and 754 women in the control group. Gestational diabetes mellitus was diagnosed in 5/51 (9.8%) women in the study group, compared with 216/754 (28.6%) women in the control group (P <.03), and the neonates born to these women had significantly lower birth weights. CO NCLUSION: The incidence of reactive hypoglycemia during the 100- g oral glucose tolerance test in our population is 6.3%. Women who experience hypoglycemia during the test have a significantly lower incidence of gestational diabetes and neonatal birth weights.
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