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[妊娠期糖尿病概述、危险因素及当前诊断标准]

[A brief of gestational diabetes mellitus, risk factors and current criteria of diagnosis].

作者信息

Al-Aissa Zahra, Hadarits Orsolya, Rosta Klára, Zóka András, Rigó János, Firneisz Gábor, Somogyi Anikó

机构信息

II. Belgyógyászati Klinika, Semmelweis Egyetem, Általános Orvostudományi Kar Budapest, Szentkirályi utca 46., 1088.

Szülészeti és Nőgyógyászati Klinika, Semmelweis Egyetem, Általános Orvostudományi Kar Budapest.

出版信息

Orv Hetil. 2017 Feb;158(8):283-290. doi: 10.1556/650.2017.30651.

DOI:10.1556/650.2017.30651
PMID:28218564
Abstract

Diabetes is one of the most common metabolic disorders that may cause pathological pregnancy. Treating diabetes recognized during pregnancy results in lowering maternal and fetal complications. These patients present higher risk for excessive weight gain, preeclampsia, delivery with cesarean sections, high risk of developing type 2 diabetes and cardiovascular disease in the future. Fetuses of mothers with gestational diabetes are at higher risk for macrosomia and birth trauma, after delivery they present higher risk of developing neonatal hypoglycemia, hyperbilirubinemia, and respiratory distress syndrome. There is still no consensus in the recommendations for the diagnosis of gestational diabetes mellitus by expert committees. Orv. Hetil., 2017, 158(8), 283-290.

摘要

糖尿病是最常见的可能导致病理性妊娠的代谢紊乱疾病之一。治疗孕期确诊的糖尿病可降低母婴并发症。这些患者体重过度增加、患先兆子痫、剖宫产分娩的风险更高,未来患2型糖尿病和心血管疾病的风险也更高。患有妊娠期糖尿病的母亲所生胎儿患巨大儿和产伤的风险更高,分娩后出现新生儿低血糖、高胆红素血症和呼吸窘迫综合征的风险也更高。专家委员会对妊娠期糖尿病的诊断建议仍未达成共识。《匈牙利医学周报》,2017年,第158卷,第8期,第283 - 290页。

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