在怀孕期糖尿病患者中实施医院产后葡萄糖耐受性测试
Nina K Ayala1,2, Audra C Fain2, Megan M Smith1
1Division of Maternal Fetal Medicine, Women and Infants Hospital of Rhode Island, Alpert Medical School of Brown University, Providence, Rhode Island.
在分娩住院期间提供医院内葡萄糖耐受性测试 (GTT) 与分娩后测试相比,显著增加了坚持. 这一策略可以改善孕期糖尿病 (GDM) 患者产后葡萄糖检测率.
科学领域:
- 产科和妇科 产科和妇科
- 内分泌学 在内分泌学.
- 公共卫生 公共卫生
背景情况:
- 孕期糖尿病 (GDM) 需要产后血糖监测,以检测持续的糖尿病.
- 传统的产后血糖检测的坚持率往往很低,需要改进查策略.
研究的目的:
- 评估医院内葡萄糖耐受性测试 (GTT) 的吸收和有效性,在GDM患者的分娩住院期间提供.
- 为了比较早期住院GTT和标准产后GTT之间的坚持率.
主要方法:
- 在第三级中心对681名患有GDM的患者进行了回顾性队列研究.
- 在住院期间提供GTT的坚持与推迟到产后期的坚持相比.
- 使用双变量统计数据分析了人口统计,临床和后续数据.
主要成果:
- 与产后检测 (30.5%) 相比,早期住院GTT (83.3%) 的遵守率明显高.
- 在完成早期GTT的人中,43.7%的葡萄糖代谢受损,6.5%患有明显的糖尿病.
- 早期GTT完成者显示出较低的产后诊所出席率 (75.6%) 与延期测试者 (91.5%).
结论:
- 在分娩住院期间提供医院内GTT,与推迟测试相比,提高了坚持.
- 早期的GTT识别出大量患有葡萄糖代谢异常的患者.
- 住院GTT是一种可行的策略,可以提高GDM患者的产后葡萄糖查.
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