妊娠糖尿病患者血脂检验在临床诊断中的应用分析(1)
摘 要：目的 研究妊娠糖尿病孕妇血脂检验在临床诊断中的应用效果。方法 选择2016年1月～12月收治的50例妊娠糖尿病孕妇，纳入干预组，同时选择同时段来我院体检的健康孕妇50名，纳入常规组，评价两组孕妇血脂监测结果及不同年龄段孕妇血脂水平。结果 干预组孕妇低密度脂蛋白、三酰甘油、总胆固醇等血脂水平均高于常规组，高密度脂蛋白值低于常规组，差异有统计学意义(P<0.05)。不同年龄段的孕妇血脂各指标水平结果不同，LDL-C、TG、TC等水平随着孕妇年龄增大而增加，而HDL-C水平则因孕妇年龄增大而减少。结论 妊娠糖尿病患者体内血脂水平均异常，且血脂水平与孕妇年龄存在一定联系。
关键词：血脂检验；妊娠糖尿病；不同年龄段
中图分类号：R714.256；R446.112 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.15.051
文章编号：1006-1959(2018)15-0156-02
, http://www.100md.com
Application of Blood Lipid Test in Patients with Gestational Diabetes Mellitus in Clinical Diagnosis
ZHANG Yan
(Department of Clinical Laboratory，Obstetrics and Gynecology Hospital of Baodi District，Tianjin 301800，China)
Abstract：Objective To study the effect of blood lipid test in clinical diagnosis of pregnant women with gestational diabetes mellitus.Methods 50 pregnant women with gestational diabetes mellitus admitted from January to December 2016 were included in the intervention group，and 50 healthy pregnant women who were examined in our hospital at the same time were included in the routine group.To evaluate the results of blood lipid monitoring and blood lipid levels of pregnant women of different age groups.Results The blood lipid levels of low density lipoprotein，triacylglycerol and total cholesterol in the intervention group were higher than those of the conventional group，and the high density lipoprotein was lower than that of the conventional group，the difference was statistically significant(P<0.05).The levels of blood lipid of pregnant women in different age groups were different.The levels of LDL-C，TG and TC increased with the age of pregnant women，while the level of HDL-C decreased as the age of pregnant women increased.Conclusion The level of serum lipids in patients with gestational diabetes mellitus is abnormal，and the level of blood lipids is related to the age of pregnant women.
, 百拇医药
Key words：Blood lipid test；Gestational diabetes mellitus；Different age groups
妊娠期糖尿病(gestational diabetes mellitus，GDM)包括兩种形式，一种指妊娠前已经发生的糖尿病孕妇，另一种指妊娠期间发生的糖尿病，大部分孕妇均为第二种；导致GDM发病的主要原因可能与妊娠期间机体对胰岛素需求相应增加有关，发病后会对孕妇及胎儿造成不同程度的影响，如高血糖可能相应增加流产率，可能诱发妊娠期高血压疾病、感染的可能性，孕妇远期糖尿病患病几率增加[1]。而胎儿长期在高胰岛素血症环境中生长发育，可能导致畸形表现。GDM疾病对孕妇健康、母婴结局、生活质量均造成较大威胁，且孕妇合并其他并发症几率相对较高，出现体内糖代谢紊乱情况后，孕妇血脂水平会受到影响，如未及时采取手段干预，可能导致孕妇病情加重。因此为GDM孕妇提供血脂检查十分必要，文章选择2016年1月～12月收治的50例妊娠糖尿病孕妇与50名健康孕妇，分析血脂检验结果，现将结果报道如下。
1 资料与方法
1.1 一般资料 选择天津市宝坻区妇产医院2016年1月～12月收治的50例妊娠糖尿病孕妇，纳入标准：①研究取得孕妇本人同意后进行；②所有孕妇病例资料完整，排除标准：合并其他妊娠期并发症的孕妇。50例纳入干预组，孕周20～36周，平均孕周(28.54±3.42)周；年龄段：23～29岁14例、30～35岁12例、35～40岁13例、>40岁11例。同时选择同时段来我院体检的健康孕妇50例，纳入常规组，年龄24～42岁，平均年龄(32.55±4.79)岁，孕周20～36周，平均孕周(28.50±3.41)周。两组孕妇一般资料结果比较，差异无统计学意义(P>0.05)，具有可比性。, 百拇医药(张雁)
关键词：血脂检验；妊娠糖尿病；不同年龄段
中图分类号：R714.256；R446.112 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.15.051
文章编号：1006-1959(2018)15-0156-02
, http://www.100md.com
Application of Blood Lipid Test in Patients with Gestational Diabetes Mellitus in Clinical Diagnosis
ZHANG Yan
(Department of Clinical Laboratory，Obstetrics and Gynecology Hospital of Baodi District，Tianjin 301800，China)
Abstract：Objective To study the effect of blood lipid test in clinical diagnosis of pregnant women with gestational diabetes mellitus.Methods 50 pregnant women with gestational diabetes mellitus admitted from January to December 2016 were included in the intervention group，and 50 healthy pregnant women who were examined in our hospital at the same time were included in the routine group.To evaluate the results of blood lipid monitoring and blood lipid levels of pregnant women of different age groups.Results The blood lipid levels of low density lipoprotein，triacylglycerol and total cholesterol in the intervention group were higher than those of the conventional group，and the high density lipoprotein was lower than that of the conventional group，the difference was statistically significant(P<0.05).The levels of blood lipid of pregnant women in different age groups were different.The levels of LDL-C，TG and TC increased with the age of pregnant women，while the level of HDL-C decreased as the age of pregnant women increased.Conclusion The level of serum lipids in patients with gestational diabetes mellitus is abnormal，and the level of blood lipids is related to the age of pregnant women.
, 百拇医药
Key words：Blood lipid test；Gestational diabetes mellitus；Different age groups
妊娠期糖尿病(gestational diabetes mellitus，GDM)包括兩种形式，一种指妊娠前已经发生的糖尿病孕妇，另一种指妊娠期间发生的糖尿病，大部分孕妇均为第二种；导致GDM发病的主要原因可能与妊娠期间机体对胰岛素需求相应增加有关，发病后会对孕妇及胎儿造成不同程度的影响，如高血糖可能相应增加流产率，可能诱发妊娠期高血压疾病、感染的可能性，孕妇远期糖尿病患病几率增加[1]。而胎儿长期在高胰岛素血症环境中生长发育，可能导致畸形表现。GDM疾病对孕妇健康、母婴结局、生活质量均造成较大威胁，且孕妇合并其他并发症几率相对较高，出现体内糖代谢紊乱情况后，孕妇血脂水平会受到影响，如未及时采取手段干预，可能导致孕妇病情加重。因此为GDM孕妇提供血脂检查十分必要，文章选择2016年1月～12月收治的50例妊娠糖尿病孕妇与50名健康孕妇，分析血脂检验结果，现将结果报道如下。
1 资料与方法
1.1 一般资料 选择天津市宝坻区妇产医院2016年1月～12月收治的50例妊娠糖尿病孕妇，纳入标准：①研究取得孕妇本人同意后进行；②所有孕妇病例资料完整，排除标准：合并其他妊娠期并发症的孕妇。50例纳入干预组，孕周20～36周，平均孕周(28.54±3.42)周；年龄段：23～29岁14例、30～35岁12例、35～40岁13例、>40岁11例。同时选择同时段来我院体检的健康孕妇50例，纳入常规组，年龄24～42岁，平均年龄(32.55±4.79)岁，孕周20～36周，平均孕周(28.50±3.41)周。两组孕妇一般资料结果比较，差异无统计学意义(P>0.05)，具有可比性。, 百拇医药(张雁)