妊娠期糖尿病诊断及处置的进展与争议  

The Development and Controversy of Diagnosis and Management to Gestational Diabetes Mellitus

作　　者：杨慧霞[1] 朱微微[1] 

机构地区：[1]北京大学第一医院妇产科,100034

出　　处：《国际妇产科学杂志》2013年第6期485-488,共4页Journal of International Obstetrics and Gynecology

摘　　要：妊娠期糖尿病的国际诊断标准不断变更,根据2008年妊娠妇女高血糖与不良结局关系的研究,诸多国际学术和科研管理机构包括世界卫生组织以及中国卫生部均更改了GDM的诊断标准,但新标准仍存在争议。本文介绍了标准发展变更情况、疾病的危险因素和二甲双胍治疗妊娠期高血糖对子代的安全性,讨论了在疾病的流行和标准变化的情况下,采用综合预防和治疗方式以应对新标准对临床管理提出的挑战。The diagnostic criteria of gestational diabetes mellitus has being changed continuously. Based on the hyperglycemia and adverse pregnancy outcome study, most international academic organizations including World Health Orgnization and Ministry Heath of China published new criteria, while there are still some arguments. After introduced the development of the diagnostic criteria and risk factors, the article presented the study of mefformin in gestational diabetes the offspring followup and proposed to adopt comprehensive intervention to face the challenges to our clinical management in China.

关 键 词：糖尿病 妊娠 诊断 危险因素 综合预防 

分 类 号：R714.256[医药卫生—妇产科学]