糖耐量篩查及注意事項(xiàng)

　　孕期糖耐量篩查（Oral Glucose Tolerance Test, OGTT）是妊娠期常用的一項(xiàng)檢查，主要用于篩查孕婦是否患有妊娠期糖尿?。℅DM）。通常在孕24-28周進(jìn)行：

　　檢查前準(zhǔn)備：

　　1、前三天正常飲食，不要食入大量含高蛋白質(zhì)及高糖的食物，如：牛奶、蛋糕、蜂蜜、飲料、西瓜及海南熱帶水果。

　　2、前一天晚上12點(diǎn)以后禁食。當(dāng)天早上8點(diǎn)空腹（禁食、禁水）到醫(yī)院檢查，先抽空腹血及留取尿標(biāo)本。

　　檢查過程：

　　空腹采血→喝糖水或吃饅頭→1小時(shí)采血→2小時(shí)采血

　　備注：

　　糖耐量試驗(yàn)一共要采三次血，第一次采空腹血，第二次為喝糖水或吃饅頭后1小時(shí)，第三次為喝糖水或吃饅頭后2小時(shí)。

　　注意事項(xiàng)：

　　1、選擇75g糖粉：在采血室前服務(wù)臺(tái)將糖粉溶于150-300ml溫水中。喝糖水的第一口開始算時(shí)間，須五分鐘內(nèi)把糖水喝完。喝完糖水后如果口腔內(nèi)有不適可以漱口，但是不能飲水。

　　2、選擇糖耐量饅頭：檢查當(dāng)天，先到一樓小代咖啡廳購(gòu)買一份糖耐量饅頭。抽完空腹血糖后在10分鐘之內(nèi)吃完糖耐量饅頭，從進(jìn)食第一口饅頭開始計(jì)時(shí)，進(jìn)食中可飲清水（不超過300ml）。

　　3、在3次采血結(jié)束之前禁食、禁水，禁運(yùn)動(dòng)。

　　4、喝糖水或吃饅頭后，靜坐期間如有頭暈、惡心、嘔吐、出汗等癥狀，屬正常反應(yīng)，應(yīng)適當(dāng)轉(zhuǎn)移注意力，盡量在舒適、通風(fēng)的地方靜坐。如有嘔吐、嚴(yán)重不適等癥狀，請(qǐng)告知工作人員。等候期間減少活動(dòng)，避免增加消耗體能影響結(jié)果。

　　Oral Glucose Tolerance Test (OGTT) is a commonly used examination during pregnancy, mainly used to screen whether pregnant women have gestational diabetes mellitus (GDM). It is usually checked between 24 and 28 weeks of pregnancy.

　　Preparation before inspection：

1.Eat normally for the first three days. Do not eat a lot of food containing high protein and high sugar, such as milk, cakes, honey, drinks, watermelons and tropical fruits.

2.Fasting after 12 o 'clock the night before. Come to the hospital for the examination on an empty stomach (fasting, no water)at 8 a.m, drawing Fasting blood and taking urine specimen.

　　Checking Process

　　Draw fasting blood → Drink sugar water or eat steamed bread → Draw blood  after 1 hour → Draw blood after 2 hours

　　Tips:Blood was collected three times in total for the glucose tolerance test, the first time for fasting blood, the second time for 1 hour after drinking sugar water or eating steamed bread, and the third time for 2 hours after drinking sugar water or eating steamed bread.

       Notice:

　　1.If you choose powdered sugar for OGTT. Dissolve 75g powdered sugar in 150-300ml warm water. Time your first sip of sugar water and drink it within five minutes. If there is any discomfort in the mouth, you can gargle, but you can not drink or eat.

　　2.If you choose steamed bread for the test, buy steamed bread at the cafe on the first floor when you are going to do the test. After drawing the fasting blood , eat the steamed bread within 10 minutes, drink water (not more than 300ml) during eating, start timing from eating the first bite of steamed bread, and draw venous blood for test 1 hour and 2 hours after eating.

　　3.Fasting and water prohibition before the third times blood collection.

　　4.It is a normal if you have dizziness, nausea, vomiting, sweating and other symptoms after drinking sugar water or eating steamed bread. You should properly divert your attention and sit in a comfortable and ventilated place as far as possible. If you have symptoms such as vomiting or severe discomfort, please call the staff. Reduce activity during the waiting period to avoid increasing energy consumption affecting the results.

來源：2025年4月5.0版  (CK-FC)