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简化静脉葡萄糖耐量试验。

Simplifying the intravenous glucose tolerance test.

作者信息

Posner N A, Silverstone F A, Breuer J, Heller M

出版信息

J Reprod Med. 1982 Oct;27(10):633-8.

PMID:7175833
Abstract

When used for classifying pregnant patients as normal or abnormal in terms of carbohydrate intolerance, the k value computed from a two-sample intravenous glucose tolerance test (IVGTT) (10 and 60 minutes) is reliable except in a zone of +/- 0.10 k points from the appropriate lower limit of normal. Retesting with six samples obtained in one hour may be required for patients with values within the doubtful range, +/- 0.10 of the lower limit of normal. Considerable savings can be realized nevertheless with the use of this test as compared with doing a full, seven-sample test on each subject. Our results suggest that the abbreviated IVGTT be used more widely as a routine screening procedure for diabetes rather than being restricted to use on suspect populations. One can make a direct conversion of blood sugar readings into k with the use of a table presented in the paper.

摘要

当用于根据碳水化合物不耐受情况将孕妇分类为正常或异常时,通过两样本静脉葡萄糖耐量试验(IVGTT)(10分钟和60分钟)计算出的k值是可靠的,但在距正常下限±0.10 k点的范围内除外。对于k值在可疑范围内(正常下限±0.10)的患者,可能需要在一小时内采集六个样本进行重新检测。不过,与对每个受试者进行完整的七样本检测相比,使用此检测方法仍可实现大量节省。我们的结果表明,简化的IVGTT应更广泛地用作糖尿病的常规筛查程序,而不仅限于在可疑人群中使用。使用本文提供的表格,可以将血糖读数直接转换为k值。

相似文献

1
Simplifying the intravenous glucose tolerance test.简化静脉葡萄糖耐量试验。
J Reprod Med. 1982 Oct;27(10):633-8.
2
Glucose intolerance during pregnancy. II. A comparative study of diagnostic screening methods.
Obstet Gynecol. 1979 Apr;53(4):495-9.
3
Comparison of glucose polymer and glucose for screening and tolerance tests in pregnancy.孕期葡萄糖聚合物与葡萄糖用于筛查和耐受性测试的比较。
Obstet Gynecol. 1985 Oct;66(4):491-9.
4
[Breakfast tolerance test: application to the detection of gestational diabetes].
Sem Hop. 1983 Sep 8;59(31):2167-72.
5
Screening for gestational diabetes--analysis by screening criteria.妊娠期糖尿病筛查——依据筛查标准进行分析
J Fam Pract. 1984 Dec;19(6):751-5.
6
[Comparative study of oral and intravenous glucose tolerance test during pregnancy (author's transl)].孕期口服与静脉葡萄糖耐量试验的比较研究(作者译)
Sem Hop. 1980;56(9-10):418-23.
7
Comparison of oral and intravenous glucose tolerance tests in the diagnosis of diabetes in pregnancy.口服与静脉葡萄糖耐量试验在妊娠期糖尿病诊断中的比较。
Br J Obstet Gynaecol. 1978 Jul;85(7):536-40.
8
Limitations of the oral glucose tolerance test in diagnosis of early diabetes.
Prim Care. 1977 Jun;4(2):255-66.
9
Screening for gestational diabetes mellitus in pregnant females.孕妇妊娠糖尿病的筛查
Saudi Med J. 2000 Feb;21(2):155-60.
10
[Comparison of oral glucose tolerance test (OGTT) and intravenous glucose tolerance test (IVGTT) for estimation of a latent disorder of glucose tolerance during pregnancy (author's transl)].
Cesk Gynekol. 1978 Sep;43(8):589-94.

引用本文的文献

1
Why some pregnant women refuse glucose challenge test? Turkish pregnant women's perspectives for gestational diabetes mellitus screening.为什么有些孕妇拒绝葡萄糖耐量试验?土耳其孕妇对妊娠期糖尿病筛查的看法。
North Clin Istanb. 2018 Aug 7;6(1):7-12. doi: 10.14744/nci.2018.37167. eCollection 2019.
2
How to diagnose diabetes.如何诊断糖尿病。
CMAJ. 2005 Mar 1;172(5):615. doi: 10.1503/cmaj.1041707.