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胰岛素依赖型糖尿病孕妇的治疗。

Treatment of pregnant insulin-dependent diabetic women.

作者信息

Fuhrmann K

出版信息

Acta Endocrinol Suppl (Copenh). 1986;277:74-6. doi: 10.1530/acta.0.111s0074.

DOI:10.1530/acta.0.111s0074
PMID:3532673
Abstract

The treatment of 620 insulin-dependent diabetic pregnant women is reported. The goal of treatment was to achieve a normal blood glucose concentration as soon as possibly during early, or even before pregnancy. When intensified conventional insulin therapy was started before conception, about 88% of the patients achieved normal blood glucose levels during the first weeks of pregnancy. In only about 20% of the pregnant diabetics without intensified preconceptional treatment a normal blood glucose level was obtained during their first hospitalization in pregnancy. The rate of congenital malformations was 1.1% in the former and 7.1% in the latter group.

摘要

报告了620例胰岛素依赖型糖尿病孕妇的治疗情况。治疗目标是在妊娠早期甚至妊娠前尽快使血糖浓度恢复正常。在受孕前开始强化常规胰岛素治疗时,约88%的患者在妊娠的头几周血糖水平恢复正常。在未进行强化孕前治疗的妊娠糖尿病患者中,只有约20%在首次住院期间血糖水平恢复正常。前一组先天性畸形发生率为1.1%,后一组为7.1%。

相似文献

1
Treatment of pregnant insulin-dependent diabetic women.胰岛素依赖型糖尿病孕妇的治疗。
Acta Endocrinol Suppl (Copenh). 1986;277:74-6. doi: 10.1530/acta.0.111s0074.
2
The effect of intensified conventional insulin therapy before and during pregnancy on the malformation rate in offspring of diabetic mothers.孕期及孕前强化常规胰岛素治疗对糖尿病母亲后代畸形率的影响。
Exp Clin Endocrinol. 1984 Apr;83(2):173-7. doi: 10.1055/s-0029-1210327.
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Pregnancy outcome in patients with insulin-dependent diabetes mellitus with preconceptional diabetic control: a comparative study.孕前糖尿病控制的胰岛素依赖型糖尿病患者的妊娠结局:一项比较研究。
Am J Obstet Gynecol. 1986 Aug;155(2):293-7. doi: 10.1016/0002-9378(86)90812-4.
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Management of diabetes mellitus in pregnancy.妊娠期糖尿病的管理
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5
Preconceptional treatment with insulin infusion pumps in insulin-dependent diabetic women with particular reference to prevention of congenital malformations.胰岛素依赖型糖尿病女性孕前使用胰岛素泵治疗,特别提及预防先天性畸形。
Acta Endocrinol Suppl (Copenh). 1986;277:81-5. doi: 10.1530/acta.0.111s0081.
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Care of the pregnant woman with insulin-dependent diabetes mellitus.胰岛素依赖型糖尿病孕妇的护理。
N Engl J Med. 1985 Jul 11;313(2):96-101. doi: 10.1056/NEJM198507113130206.
7
Spontaneous abortions and major malformations in women with diabetes mellitus.糖尿病女性的自然流产和严重畸形
Semin Reprod Endocrinol. 1999;17(2):127-36. doi: 10.1055/s-2007-1016220.
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[The clinical management of pregnant women with diabetes].[糖尿病孕妇的临床管理]
Akush Ginekol (Sofiia). 1996;35(1-2):45-8.
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Minor congenital malformations in infants of insulin-dependent diabetic women: association with poor glycemic control.胰岛素依赖型糖尿病女性婴儿的轻微先天性畸形:与血糖控制不佳的关联。
Obstet Gynecol. 1990 Nov;76(5 Pt 1):745-9. doi: 10.1097/00006250-199011000-00003.
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Intensified treatment of pregnant insulin-dependent diabetic women.对依赖胰岛素的妊娠糖尿病女性进行强化治疗。
Acta Endocrinol Suppl (Copenh). 1986;277:77-80. doi: 10.1530/acta.0.111s0077.

引用本文的文献

1
Systematic review and meta-analysis of the effectiveness of pre-pregnancy care for women with diabetes for improving maternal and perinatal outcomes.系统评价和荟萃分析孕前护理对改善糖尿病女性母婴结局的有效性。
PLoS One. 2020 Aug 18;15(8):e0237571. doi: 10.1371/journal.pone.0237571. eCollection 2020.
2
A core outcome set for studies evaluating the effectiveness of prepregnancy care for women with pregestational diabetes.用于评估孕前糖尿病女性的孕前保健效果的研究的核心结局集。
Diabetologia. 2017 Jul;60(7):1190-1196. doi: 10.1007/s00125-017-4277-4. Epub 2017 Apr 13.
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Pre-pregnancy care for women with pre-gestational diabetes mellitus: a systematic review and meta-analysis.
孕前糖尿病女性的孕前保健:系统评价和荟萃分析。
BMC Public Health. 2012 Sep 17;12:792. doi: 10.1186/1471-2458-12-792.
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Preconception care for diabetic women for improving maternal and fetal outcomes: a systematic review and meta-analysis.糖尿病女性孕前保健以改善母婴结局:系统评价和荟萃分析。
BMC Pregnancy Childbirth. 2010 Oct 14;10:63. doi: 10.1186/1471-2393-10-63.