糖尿病孕妇在分娩期间和产后初期的胰岛素用量

IF 3.5 2区医学 Q1 OBSTETRICS & GYNECOLOGY

Acta Obstetricia et Gynecologica Scandinavica Pub Date : 2024-09-12 DOI:10.1111/j.1600-0412.1981.tb00034.x

Ulf Hanson, Peter Moberg, Suad Efendic

{"title":"糖尿病孕妇在分娩期间和产后初期的胰岛素用量","authors":"Ulf Hanson, Peter Moberg, Suad Efendic","doi":"10.1111/j.1600-0412.1981.tb00034.x","DOIUrl":null,"url":null,"abstract":"Several different principles have been presented for treatment of the pregnant diabetic in connection with labor. There is, however, a lack of documentation of blood glucose levels in the immediate post‐partum period. On the day of delivery and on the 2 following days, 55 diabetics were given one daily injection of an intermediate‐acting insulin, irrespective of the mode of delivery. The amount of insulin given was one‐third of the total dose on the day before delivery. From 07.00 hours on the day of delivery, blood‐glucose levels were determined every fourth hour for 48 hours. This insulin dosage gave a satisfactory control of glycemia with a low incidence of hypoglycemia and additional insulin was very seldom required.","PeriodicalId":6990,"journal":{"name":"Acta Obstetricia et Gynecologica Scandinavica","volume":"53 1","pages":""},"PeriodicalIF":3.5000,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"DOSAGE OF INSULIN DURING DELIVERY AND THE IMMEDIATE POST‐PARTUM PERIOD IN PREGNANT DIABETICS\",\"authors\":\"Ulf Hanson, Peter Moberg, Suad Efendic\",\"doi\":\"10.1111/j.1600-0412.1981.tb00034.x\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Several different principles have been presented for treatment of the pregnant diabetic in connection with labor. There is, however, a lack of documentation of blood glucose levels in the immediate post‐partum period. On the day of delivery and on the 2 following days, 55 diabetics were given one daily injection of an intermediate‐acting insulin, irrespective of the mode of delivery. The amount of insulin given was one‐third of the total dose on the day before delivery. From 07.00 hours on the day of delivery, blood‐glucose levels were determined every fourth hour for 48 hours. This insulin dosage gave a satisfactory control of glycemia with a low incidence of hypoglycemia and additional insulin was very seldom required.\",\"PeriodicalId\":6990,\"journal\":{\"name\":\"Acta Obstetricia et Gynecologica Scandinavica\",\"volume\":\"53 1\",\"pages\":\"\"},\"PeriodicalIF\":3.5000,\"publicationDate\":\"2024-09-12\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Acta Obstetricia et Gynecologica Scandinavica\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1111/j.1600-0412.1981.tb00034.x\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"OBSTETRICS & GYNECOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Acta Obstetricia et Gynecologica Scandinavica","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1111/j.1600-0412.1981.tb00034.x","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"OBSTETRICS & GYNECOLOGY","Score":null,"Total":0}

引用次数: 0

摘要

对于糖尿病孕妇分娩时的治疗，已经提出了几种不同的原则。然而，目前还缺乏有关产后血糖水平的记录。在分娩当天和随后两天，55 名糖尿病患者每天注射一次中效胰岛素，不论分娩方式如何。胰岛素注射量为分娩前一天总剂量的三分之一。从分娩当天 7 时起，每隔 4 小时测定一次血糖水平，持续 48 小时。这种胰岛素用量能够令人满意地控制血糖，低血糖发生率很低，而且很少需要追加胰岛素。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

DOSAGE OF INSULIN DURING DELIVERY AND THE IMMEDIATE POST‐PARTUM PERIOD IN PREGNANT DIABETICS

Several different principles have been presented for treatment of the pregnant diabetic in connection with labor. There is, however, a lack of documentation of blood glucose levels in the immediate post‐partum period. On the day of delivery and on the 2 following days, 55 diabetics were given one daily injection of an intermediate‐acting insulin, irrespective of the mode of delivery. The amount of insulin given was one‐third of the total dose on the day before delivery. From 07.00 hours on the day of delivery, blood‐glucose levels were determined every fourth hour for 48 hours. This insulin dosage gave a satisfactory control of glycemia with a low incidence of hypoglycemia and additional insulin was very seldom required.

求助全文

通过发布文献求助，成功后即可免费获取论文全文。去求助

来源期刊

Acta Obstetricia et Gynecologica Scandinavica 医学-妇产科学

CiteScore

8.00

自引率

4.70%

发文量

180

审稿时长

3-6 weeks

期刊介绍： Published monthly, Acta Obstetricia et Gynecologica Scandinavica is an international journal dedicated to providing the very latest information on the results of both clinical, basic and translational research work related to all aspects of women’s health from around the globe. The journal regularly publishes commentaries, reviews, and original articles on a wide variety of topics including: gynecology, pregnancy, birth, female urology, gynecologic oncology, fertility and reproductive biology.