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[妊娠期糖尿病筛查。50g口服葡萄糖耐量试验和空腹血糖作为简单筛查参数的标准值标准,具有较高准确性]

[Screening of diabetes in pregnancy. Standard value criteria for 50g-oGTT and fasting blood sugar as simple screening parameter with high accuracy].

作者信息

Miller E C, Steinhoff R

出版信息

Geburtshilfe Frauenheilkd. 1982 Aug;42(8):583-9. doi: 10.1055/s-2008-1036925.

DOI:10.1055/s-2008-1036925
PMID:6922807
Abstract

Standard value criteria are presented on the basis of 1313 50g-oGTT for assessing carbohydrate metabolism in pregnancy (after the 26th week). The causes of the pregnancy-specific low levels are discussed. The difficulties in comparing these values with those reported by other authors, are pointed out. The authors deal extensively with the various load doses, conditions determining the decrease and glucose determination methods, and attempt to correlate the results with other data. The authors recommend fasting blood sugar values as a simple screening parameter for selecting those pregnant women on whom oGTT would be performed. This results in almost 90% coverage for pathological carbohydrate tolerance, i.e. a result which is superior to the results obtained with all other methods communicated so far. With this method, every 15th pregnant woman is required to undergo a costly and time-consuming test.

摘要

基于1313例50克口服葡萄糖耐量试验(oGTT)给出了评估孕期(孕26周后)碳水化合物代谢的标准值标准。讨论了孕期特异性低水平的原因。指出了将这些值与其他作者报告的值进行比较的困难。作者广泛探讨了各种负荷剂量、决定下降的条件和血糖测定方法,并试图将结果与其他数据相关联。作者推荐空腹血糖值作为选择进行oGTT的孕妇的简单筛查参数。这导致几乎90%的病理性碳水化合物耐量得到覆盖,即这一结果优于迄今为止所报道的所有其他方法所获得的结果。采用这种方法,每15名孕妇中就有1名需要接受一项昂贵且耗时的检测。

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1
[Screening of diabetes in pregnancy. Standard value criteria for 50g-oGTT and fasting blood sugar as simple screening parameter with high accuracy].[妊娠期糖尿病筛查。50g口服葡萄糖耐量试验和空腹血糖作为简单筛查参数的标准值标准,具有较高准确性]
Geburtshilfe Frauenheilkd. 1982 Aug;42(8):583-9. doi: 10.1055/s-2008-1036925.
2
Random capillary blood glucose and conventional selection criteria for glucose tolerance testing during pregnancy.孕期随机毛细血管血糖及葡萄糖耐量试验的传统选择标准。
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The 75 and 50g OGTT response in normal pregnant women.正常孕妇的75克和50克口服葡萄糖耐量试验反应
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Oral glucose tolerance testing at gestational weeks < or =16 could predict or exclude subsequent gestational diabetes mellitus during the current pregnancy in high risk group.孕16周及以内进行口服葡萄糖耐量试验,可预测或排除高危组孕妇当前孕期后续发生的妊娠期糖尿病。
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50gram oral glucose challenge test combined with risk factor-based screening for gestational diabetes.50克口服葡萄糖耐量试验联合基于风险因素的妊娠期糖尿病筛查
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