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妊娠期糖尿病筛查:美国预防服务工作组推荐声明。

Screening for gestational diabetes mellitus: U.S. Preventive Services Task Force recommendation statement.

出版信息

Ann Intern Med. 2014 Mar 18;160(6):414-20. doi: 10.7326/M13-2905.

Abstract

DESCRIPTION

Update of the 2008 U.S. Preventive Services Task Force (USPSTF) recommendation on screening for gestational diabetes mellitus (GDM).

METHODS

The USPSTF reviewed the evidence on the accuracy of screening tests for GDM, the benefits and harms of screening before and after 24 weeks of gestation, and the benefits and harms of treatment in the mother and infant.

POPULATION

This recommendation applies to pregnant women who have not been previously diagnosed with type 1 or 2 diabetes mellitus.

RECOMMENDATION

The USPSTF recommends screening for GDM in asymptomatic pregnant women after 24 weeks of gestation. (B recommendation)The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for GDM in asymptomatic pregnant women before 24 weeks of gestation. (I statement).

摘要

描述

对 2008 年美国预防服务工作组(USPSTF)关于筛查妊娠糖尿病(GDM)的建议进行更新。

方法

USPSTF 审查了用于筛查 GDM 的筛查试验的准确性、在 24 周妊娠前和后进行筛查的益处和危害,以及母婴治疗的益处和危害。

人群

本建议适用于尚未被诊断为 1 型或 2 型糖尿病的孕妇。

建议

USPSTF 建议在 24 周妊娠后对无症状孕妇进行 GDM 筛查。(B 级建议)USPSTF 得出结论,目前的证据不足以评估在 24 周妊娠前对无症状孕妇进行 GDM 筛查的益处和危害的平衡。(I 声明)

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