首页|妊娠期糖尿病孕妇孕中期生化指标和血清代谢物水平分析

妊娠期糖尿病孕妇孕中期生化指标和血清代谢物水平分析

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目的 分析妊娠期糖尿病(GDM)孕妇孕中期生化指标和血清代谢物水平变化.方法孕中期(孕24~28周)建卡孕妇272例,根据口服75 g葡萄糖耐量试验分为GDM组(诊断为GDM,152例)和对照组(无GDM,120例).比较两组患者一般资料、建卡时生化指标和血清代谢物水平,分析丙氨酸和精氨酸水平与生化指标的相关性.结果GDM组年龄大于对照组,建卡时收缩压、舒张压、空腹血糖、糖化血红蛋白、总胆汁酸、丙氨酸和精氨酸水平高于对照组(P<0.05).GDM组丙氨酸和精氨酸水平与空腹血糖、糖化血红蛋白和和三酰甘油水平均呈正相关(P<0.05).结论GDM孕妇孕中期存在生化指标和血清代谢物水平异常,丙氨酸和精氨酸水平与空腹血糖、糖化血红蛋白和三酰甘油水平密切相关.
Analysis of biochemical indexes and serum metabolites in second trimester of pregnant women with gestational diabetes mellitus
Objective To analyze the change of biochemical indexes and serum metabolites in second trimester of pregnant women with gestational diabetes mellitus(GDM).Methods A total of 272 pregnant women with card construction at 24-28 weeks of pregnancy were divided into GDM group(with GDM,152 cases)and control group(without GDM,120 cases)according to oral glucose tolerance test.The general data,biochemical indexes and serum metabolites levels were compared between the two groups.The correlation of alanine and arginine with biochemical indexes was analyzed.Results The age was older,and systolic blood pressure,diastolic blood pressure,fasting blood glucose,glycated hemoglobin,total bile acid,alanine and arginine were higher in GDM group than those in control group(P<0.05).Alanine and arginine were positively correlated with fasting blood glucose,glycated hemoglobin and triacylglycerol in GDM group(P<0.05).Conclusion The biochemical indexes and serum metabolites are abnormal during second trimester of pregnant women with GDM.Alanine and arginine are closely related to fasting blood glucose,glycated hemoglobin and triacylglycerol.

Gestational diabetes mellitusAlanineArginine

项兰兰、曾玉、朱怡恬、钟天鹰、陈亚军、朱叶飞

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210000 江苏,南京医科大学第二附属医院检验医学中心

南京医科大学附属妇产医院(南京市妇幼保健院)检验科

妊娠期糖尿病 丙氨酸 精氨酸

江苏省卫生健康开放课题南京市卫生科技发展专项南京医科大学科技发展基金重点项目南京医科大学科技发展基金重点项目

JSHD202313YKK23151NMUB2020124NMUB20210117

2024

江苏医药
江苏省人民医院(南京医科大学第一附属医院)

江苏医药

影响因子:0.707
ISSN:0253-3685
年,卷(期):2024.50(8)