中国实用妇科与产科杂志

中国实用妇科与产科杂志

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妊娠期高血糖的诊断及管理

  

  1. 北京大学第一医院妇产科，北京 100034
  • 出版日期:2020-02-02 发布日期:2020-03-05
  • 通讯作者: 杨慧霞
  • 基金资助:
    国家重点研发计划（2016YFC1000402）

Diagnosis and management strategies for hyperglycemia in pregnancy.

  1. Department of Obstetrics and Gynecology，Peking University First Hospital，Beijing 100034，China
  • Online:2020-02-02 Published:2020-03-05

摘要： 妊娠期高血糖（HIP）母儿不良结局明显增加，不仅近期并发症增加，远期发展为糖尿病风险也明显增加。妊娠期高血糖包括孕前糖尿病合并妊娠（PGDM）和妊娠期糖尿病（GDM）。我国二孩政策全面放开后，高危人群比例增加，HIP孕妇比例将进一步增加。对于妊娠期高血糖的筛查、诊断、管理策略及母儿的远期随访等问题均应引起关注。

关键词: 妊娠期高血糖, 孕前糖尿病合并妊娠, 妊娠期糖尿病, 诊断, 随访

Abstract: Hyperglycemia in pregnancy（HIP） is an issue of increasing concern to both obstetricians and administrators and it brings health issues for both mothers and offspring，not only early complications，but also long-term effects. HIP may either have been PGDM，or GDM. After two-child policy was fully carried out in China，the incidence of HIP has been increased further. Many important issues such as the screening and diagnosis of DM during pregnancy and the strategies of GDM management in China need to  be dealt with.

Key words: hyperglycemia in pregnancy, pre-gestational diabetes mellitus complicating pregnancy, gestational diabetes mellitus, diagnose, follow up

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