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基层医院妊娠期糖尿病管理模式探讨 被引量:1

The study of management mode of gestational diabetes meilitus in Primary hospital
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摘要 目的探讨我院对妊娠期糖尿病孕妇的管理模式。方法对2005年1月至2008年12月的妊娠期糖尿病孕妇的妊娠及分娩结局进行回顾性分析并和4年来所有分娩的母婴结局进行比较。结果妊娠期糖尿病的发生率为4.74%。妊娠期糖尿病剖宫产率、早产率、巨大儿发生率高于平均值,其他母婴结局与正常孕妇无明显差异。结论孕24—28周对所有孕妇进行妊娠期糖尿病筛查,对妊娠期糖尿病孕妇饮食控制、监测血糖及密切胎儿监测,妊娠期糖尿病适时终止妊娠可获得和正常孕妇接近的母婴结局。 Objective To study the management mode of gestational diabetes mellitus of our hospital. Methods Using retrospective analysis to study the pregnancies of gestational diabetes mellitus and the following outcomes of our hospital from January 2005 to December 2008. And compareing with all pregnancies and outcomes of our hospital in the same period. Results The incidence of gestational diabetes mellitus was 4. 74%. Cesarean section ,premature birth and macrosomia rate of gestational diabetes were above the rate of average. But other maternal and child outcomes with no significant difference between the normal pregnant women. Conclusion Gestational diabetes screening all pregnant women between 24-28 weeks and with gestational diabetes diet control, monitoring of blood glucose and fetal monitoring, timely termination of pregnancies of gestational diabetes mellitus. The pregnancies of gestational diabetes mellitus can get similar maternal and fetus outcomes with normal pregnant women.
出处 《中国临床实用医学》 2010年第1期223-224,共2页 China Clinical Practical Medicine
关键词 妊娠期糖尿病 管理 并发症围生儿结局 Gestational diabetes mellitus Management Complications Fetus outcome
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  • 1Su X, Zhang Z, Qu x, et al. Hemoglobin Alc for Diagnosis of Postpartum Abnormal Glucose Tolerance among Women with Gestational Diabetes Mellitus: Diagnostic Meta-Analysis. PLoS One, 2014, 9(7):e102144.
  • 2Kleinwechter H, Schafer-Graf U, B u hrer C, et al. Gestational Diabetes Mellitus (GDM) Diagnosis, Therapy and Follow-Up Care. Exp Clin Endocrinol Diabetes, 2014, 122(7):395-405.
  • 3Corrado F, Pintaudi B, Di Vieste G, et al. Italian risk factor-based screening for gestational diabetes. J Matern Fetal Neonatal Med, 2014, 27(14):1445-1448.
  • 4Boritza KC, dos Santos-Weiss IC, da Silva Couto Alves A, et al. 1, 5 Anhydroglucitol serum concentration as a biomarker for screening gestational diabetes in early pregnancy. Clin Chem Lab Med, 2014, 52(8):e179-181.
  • 5张载宏,高亚飞,杨锐,等.236例妊娠期妇女糖筛查分析.中国优生优育,2014,20(3):163-164.
  • 6o Mahalakshmi MM, Bhavadharini B, Kumar M, et al. Clinical profile, outcomes, and progression to type 2 diabetes among Indian women with gestational diabetes mellitus seen at a diabetes center in south India. Indian J Endocrinol Metab, 2014, 18(3):400-406.
  • 7Zhu WW, Yang HX. Evaluation of the value of fasting plasma glucose in the first prenatal visit to diagnose gestational diabetes mellitus in China. Diabetes Care, 2013, 36(3):586-590.
  • 8范建霞,陶俊.妊娠期糖尿病诊断标准的更新及意义[J].中华全科医师杂志,2012,11(4):241-243. 被引量:18
  • 9宋依临,杨慧霞.妊娠期糖尿病孕妇不同血糖监测方法的评价[J].中华妇产科杂志,2012,47(10):797-799. 被引量:18
  • 10苏日娜,杨慧霞.美国糖尿病学会2013年《妊娠期糖尿病诊治标准》摘译[J].中华围产医学杂志,2013,16(6):378-378. 被引量:16

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