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意大利妊娠期糖尿病的选择性筛查:国家指南的应用与效果

Selective screening for GDM in Italy: application and effectiveness of National Guidelines.

作者信息

Lacaria Emilia, Lencioni Cristina, Russo Laura, Romano Matilde, Lemmi Paolo, Battini Lorella, Del Prato Stefano, Bertolotto Alessandra, Di Cianni Graziano

机构信息

a Department of Endocrinology and Metabolism , University of Pisa , Pisa , Italy .

出版信息

J Matern Fetal Neonatal Med. 2015;28(15):1842-4. doi: 10.3109/14767058.2014.969701. Epub 2014 Oct 17.

Abstract

In September 2011 the Italian Public Health Authority established selective screening for GDM to be performed based on the presence of risk factors. In a cohort of 2552 Caucasian pregnant women we evaluated to which extent the new national guidelines (NGL) are correctly applied; moreover we estimated the prevalence of GDM assessed by NGL. Our data show that the NGL are still properly implemented since the screening test was performed in nearly the totality of the women at 24th and 28th week of gestation. GDM prevalence is 10.9%, 25% greater as compared to the one determined with the old criteria 10 years ago.

摘要

2011年9月,意大利公共卫生当局规定根据风险因素对妊娠糖尿病进行选择性筛查。在一个由2552名白人孕妇组成的队列中,我们评估了新的国家指南(NGL)的正确应用程度;此外,我们还估计了通过NGL评估的妊娠糖尿病患病率。我们的数据表明,由于几乎所有女性都在妊娠第24周和第28周进行了筛查测试,NGL仍得到了妥善实施。妊娠糖尿病患病率为10.9%,比10年前用旧标准确定的患病率高25%。

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