妊娠期糖尿病患者产后血糖筛查研究进展  

Recent Developments in Postpartum Blood Glucose Screening among Patients with Gestational Diabetes Mellitus

作　　者：章登燕 朱庆双[1] ZHANG Dengyan;ZHU Qingshuang(Education Department,Xuanwu Hospital,Capital Medical University,Beijing 100053,China;School of General Practice and Continuing Education,Capital Medical University,Beijing 100069,China)

机构地区：[1]首都医科大学宣武医院教育处,北京市100053 [2]首都医科大学全科医学与继续教育学院,北京市100069

出　　处：《中国全科医学》2021年第24期3087-3095,共9页Chinese General Practice

摘　　要：妊娠期糖尿病(GDM)指妊娠前糖代谢正常,妊娠期才出现的糖尿病。近年来GDM的发病率在全球范围持续上升,已成为威胁妇女健康的重要公共卫生问题。既往研究已证实GDM患者是未来患2型糖尿病的危险人群,而低成本的干预措施可有效预防糖尿病的发展,因此产后进行血糖筛查非常重要。国内外多个学术组织相继推出了产后血糖筛查指南,但各指南的建议不尽相同,患者的依从性普遍偏低,而造成筛查率低的原因有很多(患者缺乏血糖筛查意识、医生未告知以及各科室之间缺乏沟通等)。为了提高GDM患者的产后血糖筛查率,各国研究者们进行了多种尝试,但效果不甚理想。本文从GDM患者产后血糖筛查相关指南、GDM患者产后血糖筛查依从性以及促进GDM患者进行产后血糖筛查的方法三方面进行综述,以期为改善GDM患者产后血糖随访管理提供参考。Gestational diabetes mellitus(GDM)is defined as diabetes diagnosed in pregnancy although the patient's pre-pregnancy glucose metabolism is normal.The prevalence of GDM is rising globally in recent years,which has become a major public health issue endangering women's health.GDM patients have been found with a higher risk of developing type 2 diabetes,but which may be prevented or delayed effectively by low-cost interventions,so it is critical to carry out postpartum blood glucose screening.Many guidelines for postpartum glucose screening have been issued successively,with partial differences in contents,but a similarity of achieving low patient adherence to screening,which may be attributed to many factors,such as low awareness of postpartum glucose screening,and low rate of being informed about screening by physicians among patients,as well as insufficient communication between involved departments.Various attempts have been made to improve the postpartum glucose screening rate in this group,but the results are as yet unsatisfactory.To offer views on improving postpartum glucose followup management of GDM patients,we reviewed the guidelines on postpartum glucose screening among GDM patients,and their adherence to postpartum glucose screening,as well as methods improving the screening prevalence.

关 键 词：妊娠 糖尿病 糖尿病 妊娠 血糖 筛查 妇女 指南 依从性 方法 全科医生 

分 类 号：R589.1[医药卫生—内分泌]