目的 观察与评价C反应蛋白在妊娠期糖尿病监测中的价值。方法 随机选取32例妊娠期糖尿病者且作为观察组,另外再选取30例糖耐量异常者作为对照Ⅰ组,60例正常妊娠者作为对照Ⅱ组,于不同时期对三组研究对象C反应蛋白水平进行监测且对三组研究对象空腹血糖、餐后2 h血糖、糖化血红蛋白、C反应蛋白进行对比,利用多元Logistic回归模型加以分析。结果 不同孕期,观察组C反应蛋白水平高于对照Ⅰ组与对照Ⅱ组(P＜0.05);且观察组平均血糖水平、平均糖化血红蛋白水平,C反应蛋白水平均高于其他组(P＜0.05);同时C反应蛋白是妊娠期糖尿病发生的危险因素,其水平与空腹血糖、餐后2 h血糖、糖化血红蛋白水平具有正相关性(P＜0.05)。结论 C反应蛋白监测在妊娠期糖尿病中应用价值显著,值得临床推广。

Objective To study the significance of high sensitive Creactive protein (CRP) level in the course of development of gestational diabetes mellitus(GDM).Methods Eighty-seven pregnant women were recruited and divided into normal glucose tolerance group (32 cases), gestational impaired glucose tolerance group (30 cases), and GDM group (32 cases).The levels of serum CRP in different groups were detected.60 healthy women who received physical examination during the same period were recruited as control group.Results There was no significant difference in the fasting blood glucose and CRP level between health control group and normal pregnancy group (P<0. 05). The fasting blood glucose and CRP level in gestational impaired glucose tolerance group and GDM group were significantly higher than those in normal pregnancy group (P<0. 05 ) . The fasting blood glucose and CRP level in GDM group were significantly higher than those in gestational impaired glucose tolerance group (P<0. 05) .Conclusions The increase of CRP level can predict the occurrence of GDM.