摘要
目的:对妊娠早期妇女进行红细胞参数测定,探讨其对妊娠期糖尿病诊断的预测价值。方法:收集我院产前检查并最终在我院待产健康孕妇86例,检测其红细胞参数,同时追踪监测孕妇妊娠糖尿病发病情况,与红细胞参数进行Logistic回归分析。结果:80例妊娠妇女共出现妊娠糖尿病22例,发病率27.5%;对孕早期妇女和无妊娠对照各项红细胞参数进行比较,RBC、HB、MCV和RDWSD、EAI、HBA1c差异均有统计学意义(P<0.05),HCT差异无统计学意义(P>0.05);Logistic回归分析模型进行逐步回归发现HBA1c、HB、EAI3个指标有意义,其优势比OR分别为11.102、5.596、2.987。结论:HBA1c、HB、EAI可以作为妊娠糖尿病早期诊断的指标,对妊娠糖尿病的诊断具有预测价值。
Objective： To determinate the RBC parameter of early normal pregnancy women, to explore the predictive val- ue on diagnosis of gestational diabetes mellitus. Method： 86 cases in our hospital prenatal examination and ultimately birth, tested the RBC parameters, at the same time monitoed pregnant diabetes status, analyzed the RBC parameters and diabetes sta- tus by Logistic regression. Result： 22 cases were diagnosed GDM, the incidence was 27.5%. Compared with no pregnancy control, early normal pregnancy women were statistic different in RBC, HB, MCV, REW-SD, EAI and HBAle（P〈O. 05 ） there was no significant difference of I-ICT （ P〉0.05 ） ; Logistic regression analysis showed HBAlc, HB, EAI3 indicators had statistic significant, their OR were I 1. 102,5.596, 2. 987 respectively. Conclusion： HBAIe, HB, EAI can be used as index for the diagnosis of earlv GDM. to predict the early GDM.
出处
《河北医学》
CAS
2013年第12期1792-1794,共3页
Hebei Medicine
