国际妇产科学杂志

国际妇产科学杂志 ›› 2013, Vol. 40 ›› Issue (6): 485-488.

• 述评 • 上一篇    下一篇

妊娠期糖尿病诊断及处置的进展与争议

杨慧霞,朱微微   

  1. 100034 北京大学第一医院妇产科
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2013-12-15 发布日期:2013-12-15
  • 通讯作者: 杨慧霞

The Development and Controversy of Diagnosis and Management to Gestational Diabetes Mellitus

YANG Hui-xia，ZHU Wei-wei   

  1. Department of Obstetrics and Gynecology，Peking University First Hospital，Beijing 100034，China
  • Received:1900-01-01 Revised:1900-01-01 Published:2013-12-15 Online:2013-12-15
  • Contact: YANG Hui-xia

PDF (PC)

4787

摘要： 妊娠期糖尿病的国际诊断标准不断变更，根据2008年妊娠妇女高血糖与不良结局关系的研究，诸多国际学术和科研管理机构包括世界卫生组织以及中国卫生部均更改了GDM的诊断标准，但新标准仍存在争议。本文介绍了标准发展变更情况、疾病的危险因素和二甲双胍治疗妊娠期高血糖对子代的安全性，讨论了在疾病的流行和标准变化的情况下，采用综合预防和治疗方式以应对新标准对临床管理提出的挑战。

关键词: 糖尿病, 妊娠, 诊断, 危险因素, 综合预防

Abstract: The diagnostic criteria of gestational diabetes mellitus has being changed continuously. Based on the hyperglycemia and adverse pregnancy outcome study, most international academic organizations including World Health Orgnization and Ministry Heath of China published new criteria, while there are still some arguments. After introduced the development of the diagnostic criteria and risk factors, the article presented the study of metformin in gestational diabetes the offspring followup and proposed to adopt comprehensive intervention to face the challenges to our clinical management in China.

Key words: Diabetes, gestational, Diagnosis, Risk factors, Universal precautions