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治疗妊娠期糖耐量受损的女性可降低妊娠不良结局

[Treating women with gestational impaired glucose tolerance reduces adverse outcome of pregnancy].

作者信息

Li P, Yang H, Dong Y

机构信息

Nanjing Medical University Affiliated Nanjing First Hospital, Nanjing 210006.

出版信息

Zhonghua Fu Chan Ke Za Zhi. 1999 Aug;34(8):462-4.

PMID:11360593
Abstract

OBJECTIVE

To study the treatment of women with gestational impared glucose tolerance (GIGT) in relation to outcome of fetus and newborns.

METHODS

98 women with GIGT were randomized into untreated (37 mothers) and treated groups (61 mothers) that included diet control and insulin therapy. The perinatal outcomes were compared in the two groups.

RESULTS

The incidence of macrosomia (P < 0.01) and fetal distress (P < 0.05) was found to be significantly higher in the untreated group when compared with the treated group. The prevalence of neonatal metabolic complications in the untreated group was higher than that of the treated group as well.

CONCLUSION

Treatment of women with GIGT will reduce adverse outcome in pregnancy.

摘要

目的

研究妊娠糖耐量受损(GIGT)妇女的治疗与胎儿及新生儿结局的关系。

方法

98例GIGT妇女被随机分为未治疗组(37例母亲)和治疗组(61例母亲),治疗组包括饮食控制和胰岛素治疗。比较两组的围产期结局。

结果

与治疗组相比,未治疗组巨大儿发生率(P < 0.01)和胎儿窘迫发生率(P < 0.05)显著更高。未治疗组新生儿代谢并发症的发生率也高于治疗组。

结论

治疗GIGT妇女可降低妊娠不良结局。

相似文献

1
[Treating women with gestational impaired glucose tolerance reduces adverse outcome of pregnancy].治疗妊娠期糖耐量受损的女性可降低妊娠不良结局
Zhonghua Fu Chan Ke Za Zhi. 1999 Aug;34(8):462-4.
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[The effect of gestational impaired glucose tolerance on fetus and newborns].妊娠期糖耐量受损对胎儿及新生儿的影响
Zhonghua Fu Chan Ke Za Zhi. 1997 Jul;32(7):422-4.
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[Correlation between amniotic fluid glucose concentration and amniotic fluid volume and neonatal birth weight in pregnancy complicated by gestational diabetes mellitus].妊娠合并妊娠期糖尿病时羊水葡萄糖浓度与羊水量及新生儿出生体重的相关性
Zhonghua Fu Chan Ke Za Zhi. 2006 Nov;41(11):724-8.
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Large-for-gestational-age newborns in women with insulin-treated gestational diabetes under strict metabolic control.严格代谢控制下接受胰岛素治疗的妊娠期糖尿病女性所分娩的大于胎龄儿。
Wien Klin Wochenschr. 2005 Aug;117(15-16):521-5. doi: 10.1007/s00508-005-0404-1.
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Comparison of glyburide and insulin for the management of gestational diabetics with markedly elevated oral glucose challenge test and fasting hyperglycemia.格列本脲与胰岛素治疗口服葡萄糖耐量试验明显升高及空腹血糖过高的妊娠期糖尿病患者的比较。
J Perinatol. 2007 May;27(5):262-7. doi: 10.1038/sj.jp.7211683. Epub 2007 Mar 15.
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[Relationship between blood lipid levels of pregnant women with glucose metabolism disorders and perinatal outcomes].葡萄糖代谢紊乱孕妇血脂水平与围产期结局的关系
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Perinatal outcome in large-for-gestational-age infants. Is it influenced by gestational impaired glucose tolerance?大于胎龄儿的围产期结局。它是否受妊娠期糖耐量受损的影响?
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Detection of pregnancies with high risk of fetal macrosomia among women with gestational diabetes mellitus.妊娠期糖尿病女性中胎儿巨大儿高风险妊娠的检测
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引用本文的文献

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Insulin for the treatment of women with gestational diabetes.用于治疗妊娠期糖尿病女性的胰岛素。
Cochrane Database Syst Rev. 2017 Nov 5;11(11):CD012037. doi: 10.1002/14651858.CD012037.pub2.
2
Interventions for pregnant women with hyperglycaemia not meeting gestational diabetes and type 2 diabetes diagnostic criteria.针对血糖升高但未达到妊娠期糖尿病和2型糖尿病诊断标准的孕妇的干预措施。
Cochrane Database Syst Rev. 2012 Jan 18;1(1):CD009037. doi: 10.1002/14651858.CD009037.pub2.
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Treatments for gestational diabetes.妊娠期糖尿病的治疗方法。
Cochrane Database Syst Rev. 2009 Jul 8;2009(3):CD003395. doi: 10.1002/14651858.CD003395.pub2.