Abstract：Objective: To study the a1c and fasting plasma glucose in two ways the effectiveness of the joint inspection of gestational diabetes screening.methods: Select 2014 to 2015 in our hospital examination of 582 cases of pregnant women, select the check out 50 cases of gestational diabetes patients as observation group, at the same time, choose the same check the health of pregnant women 50 cases as control group, compared two groups of patients with a1c and fasting plasma glucose levels, and analysis of two types of inspection to the client of gestational diabetes screening results.Results: Observation group of patients serum glycosylated hemoglobin and fasting plasma glucose levels were significantly higher than that of control group (P < 0.05).Negative predictive value of gestational diabetes fasting glucose was 43.16%, positive predictive value was 92.38%, specificity of 97.16%, 81.25% accuracy, sensitivity is 43.36%;Glycated hemoglobin for gestational diabetes negative predictive value of 81.97%, positive predictive value was 94.74%, specificity of 98.25%, 93.16% accuracy, sensitivity of 82.25%.Conclusion: Glycosylated hemoglobin examination negative predictive value, accuracy and sensitivity of gestational diabetes were significantly higher than that of fasting plasma glucose, two ways of joint inspection can be a good screening method of gestational diabetes.
[1] Carolan M.Gestational diabetes mellitus among women born in South East Asia: A review of the evidence[J].Midwifery,2013,29(9):1019~1026. [2] 高玉东.妊娠期糖尿病两种诊断标准治疗后对孕产妇及产儿的不同妊娠结局影响[J].中国妇幼保健,2015,30(3):360~362. [3] Lapolla A,Dalfra MG,Ragazzi E et al.New International Association of the Diabetes and Pregnancy Study Groups (IADPSG) recommendations for diagnosing gestational diabetes compared with former criteria: a retrospective study on pregnancy outcome[J].Diabetic medicine: A journal of the British Diabetic Association,2011,28(9):1074~1077. [4] 伍永红.妊娠期糖尿病与妊娠结局的临床分析[J].中国实用医药,2015,32(11):32~33. [5] 李涵.血糖控制对妊娠期糖尿病孕妇产后感染的研究[J].吉林医学,2016,37(8):2036~2037. [6] 张健,徐太会.妊娠高血压综合征(妊高征)及妊娠期糖尿病孕妇血小板功能状态和血小板活化情况[J].世界最新医学信息文摘(连续型电子期刊),2015,24(74):108~109.
2017, Vol. 23 
冀公网安备13080202000677号