妊娠糖尿病的药物治疗  

Medication of gestational diabetes mellitus

作　　者：曾龙驿[1] 鲁红云[1] 陈宣蓉[1] 

机构地区：[1]中山大学附属第三医院内分泌科,广州510630

出　　处：《国际内分泌代谢杂志》2010年第3期214-216,共3页International Journal of Endocrinology and Metabolism

摘　　要：妊娠糖尿病是在妊娠过程中首次发现的任何程度的糖耐最异常,其发病机制与多种因素相关.妊娠期间血糖水平对母体、妊娠结局及围产儿的预后有着重要的影响.治疗妊娠糖尿病的药物选择要求能够有效控制血糖,及对胎儿影响小,低血糖事件少,患者依从性好等.目前治疗妊娠糖尿病的药物仍以胰岛素为主,但部分口服降糖药也逐渐进入人们的视野.现就妊娠糖尿病的药物治疗进行概述.Gestational diabetes mellitus （GDM） is defined as any degree of impaired glucose tolerance, with onset or first recognition during pregnancy. The pathogenesis of GDM is related to many factors. The blood glucose level significantly impacts on maternal, results of pregnancy and perinatal prognosis during pregnancy. The drugs which be used to treat GDM need to control blood glucose well,affect little on fetus, have less incidence of hypoglycemia and with good compliance of patients. Although insulin is still the most important selection of medications treating GDM, some oral hypoglycemic agents are gradually entering people＇s field of vision. Here summarizes the medication of GDM.

关 键 词：妊娠糖尿病 药物治疗 胰岛素 口服降糖药 

分 类 号：R587.1[医药卫生—内分泌]