妊娠合并糖尿病孕妇产程中血糖管理的研究进展

发布时间：2018-02-02 06:43

本文关键词： 糖尿病产程血糖胰岛素母儿结局　出处：《中国妇产科临床杂志》2017年02期 　论文类型：期刊论文

【摘要】：产程中妊娠合并糖尿病孕妇的血糖水平波动大,对妊娠合并糖尿病患者分娩期血糖进行管理能明显减少孕妇出现严重低血糖、酮症酸中毒、胎儿窘迫及新生儿的低血糖等。许多学者已达成共识:在产程中根据血糖值维持小剂量胰岛素静脉滴注,同时给产妇提供足够的葡萄糖液输注。我国目前指南与部分国外学者的胰岛素使用原则一致,但关于血糖的控制范围、胰岛素方案还存在分歧。如能针对妊娠合并糖尿病孕妇产程中的血糖水平选择个性化的胰岛素治疗方案,并合理的应用新产程标准处理产程,对于降低剖宫产率,改善母儿结局有重要临床意义。
[Abstract]:The blood sugar level of pregnant women with diabetes mellitus fluctuated greatly during labor. The management of blood sugar in pregnant women with diabetes mellitus during delivery can obviously reduce the occurrence of severe hypoglycemia and ketoacidosis in pregnant women. Fetal distress and neonatal hypoglycemia. Many scholars have reached a consensus: maintain a small dose of insulin intravenous drip according to blood glucose during labor. At the same time, adequate glucose infusion is provided to the parturient. The present guidelines in China are consistent with the principles of insulin use of some foreign scholars, but the scope of blood glucose control, There are still differences in insulin regimens. If we can choose individualized insulin therapy for pregnant women with diabetes mellitus, and apply the new labor procedure standard to deal with the labor process, it can reduce the rate of cesarean section. Improving maternal and fetal outcomes is of great clinical significance.
【作者单位】：首都医科大学附属北京妇产医院;
【分类号】：R714.256
【正文快照】： 妊娠合并糖尿病包括孕前糖尿病(pre-gestationaldiabetes mellitus,PGDM)、妊娠期糖尿病(gestationaldiabetes mellitus,GDM)。PGDM指在原有糖尿病的基础上合并妊娠或妊娠前为隐性糖尿病,妊娠后发展为糖尿病;GDM指在妊娠期发生或首次发现的糖耐量受损而导致不同程度的高血糖,

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