妊娠期高血糖诊治进展

Current status of the diagnosis and therapeutics on hyperglycemia in pregnancy

随着我国糖尿病患者人数的快速增长,以及生育政策调整带来的高龄产妇比例明显升高,妊娠期高血糖已成为最常见的妊娠期并发症。结合国内外近期相关指南及文献,本文介绍了最新的妊娠期高血糖分类、诊断标准,以孕产期时段为导向,依次介绍了妊娠期高血糖孕前、孕期、分娩期及产后的母儿管理,同时提供了相关的预防及随访建议。

With the rapid growth of the number of diabetes mellitus patients, the adjustment of the "comprehensive two-child policy" and "three-child fertility policy" have significantly increased the proportion of elderly pregnant women. Hyperglycemia in pregnancy has become the most common complication of pregnancy. combined with recent domestic and foreign guidelines and literature, this article introduces the classification and diagnostic criteria of hyperglycemia in pregnancy. Then we introduce its maternal and fetal management from four periods: before pregnancy, during pregnancy, perinatal period and postpartum period, and provide relevant prevention and follow-up suggestions.