妊娠合并糖尿病诊治研究进展

发布时间：2018-03-11 07:02

本文选题：糖尿病　切入点：妊娠　出处：《中国全科医学》2016年32期 　论文类型：期刊论文

【摘要】：妊娠合并糖尿病包括糖尿病合并妊娠和妊娠期糖尿病(GDM),与母儿近、远期不良妊娠结局密切相关。我国妊娠合并糖尿病的发病率逐年上升且呈现年轻化趋势。因此重视并加强对妊娠合并糖尿病的临床诊治至关重要。本文介绍了妊娠合并糖尿病的诊治研究进展。比较了世界卫生组织(WHO)(2013年)、国际糖尿病与妊娠研究组(IADPSG)(2010年)和我国妊娠合并糖尿病的诊断标准。强调妊娠合并糖尿病全程应进行饮食管理和运动干预,且对需要进行药物治疗的患者,应及早药物治疗。此外,必须重视产后随访,进而最大可能对远期慢性疾病进行预防。综上提出,妊娠合并糖尿病的治疗需贯穿全程,即妊娠前计划与准备、妊娠期治疗(包括生活方式干预和药物治疗)以及重视产后随访。
[Abstract]:Pregnancy complicating diabetes includes diabetes associated with pregnancy and gestational diabetes mellitus (GDM), which is close to mother and child. Long-term adverse pregnancy outcome is closely related. The incidence of pregnancy with diabetes in China is increasing year by year and showing a trend of rejuvenation. Therefore, it is very important to pay attention to and strengthen the clinical diagnosis and treatment of pregnancy complicated with diabetes mellitus. This article introduces the clinical diagnosis and treatment of pregnancy with diabetes. The progress in the diagnosis and treatment of pregnancy with diabetes mellitus was compared with that of the World Health Organization (WHO) (2013), the International study Group on Diabetes and pregnancy (IAPG) (2010) and the criteria for diagnosis of pregnancy complicated with Diabetes in China. It was emphasized that the whole course of pregnancy complicated with diabetes should be carried out. Dietary management and exercise intervention, In addition, we must pay attention to the postpartum follow-up, and the most likely long-term chronic disease prevention. In summary, the treatment of pregnancy with diabetes should run through the whole process. Prepregnancy planning and preparation, gestational therapy (including lifestyle intervention and medication) and postpartum follow-up.
【作者单位】：北京大学第一医院妇产科;
【基金】：世界糖尿病基金(WDF 14-908) 国家科技支撑计划资助项目(2015BAI13B06) 北京市科技专项基金资助项目(Z151100001615051)
【分类号】：R714.256

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