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无应激试验及母血葡萄糖测定

Nonstress test and maternal serum glucose determinations.

作者信息

Phelan J P, Kester R, Labudovich M L

出版信息

Obstet Gynecol. 1982 Oct;60(4):437-9.

PMID:7121930
Abstract

Serum glucose levels were measured in 50 nondiabetic pregnant women between 33 and 43 weeks' gestation following a nonstress test (NST) to determine the relationship between maternal glucose levels and the results of the NST. Two comparable groups of 25 patients each were formed based on the NST results, reactive and nonreactive. Overall, maternal glucose level for the study population was 71.3 +/- 20.1 mg/dl. Although the difference was not statistically different, the nonreactive NST group did demonstrate slightly higher glucose levels (71.6 +/- 17.3 mg/dl) than did the reactive group (70.9 +/- 17.3 mg/dl). Furthermore, patients studied for suspected intrauterine growth retardation or who had a history of a prior stillbirth and significantly lower (P less than .025) glucose levels than those tested for other indications. These results suggest that there is no correlation between the NST results and maternal serum glucose concentrations in a nondiabetic population. The significantly lower maternal glucose levels observed in intrauterine growth retardation and prior stillbirth groups warrant further investigation.

摘要

在50名非糖尿病孕妇妊娠33至43周期间进行无应激试验(NST)后测量血清葡萄糖水平,以确定母体葡萄糖水平与NST结果之间的关系。根据NST结果形成两组各25名患者的可比组,即反应型和无反应型。总体而言,研究人群的母体葡萄糖水平为71.3±20.1mg/dl。虽然差异无统计学意义,但无反应型NST组的葡萄糖水平(71.6±17.3mg/dl)确实略高于反应型组(70.9±17.3mg/dl)。此外,因怀疑胎儿宫内生长受限或有死产史而接受研究的患者,其葡萄糖水平明显低于(P<0.025)因其他指征接受检测的患者。这些结果表明,在非糖尿病人群中,NST结果与母体血清葡萄糖浓度之间没有相关性。在胎儿宫内生长受限和既往死产组中观察到的母体葡萄糖水平明显较低,值得进一步研究。

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