餐后血糖监测的时间会影响妊娠糖尿病患者的产科和新生儿预后吗?一项比较餐后 1 小时和餐后 2 小时监测的前瞻性研究。

IF 2.1 3区 医学 Q2 OBSTETRICS & GYNECOLOGY
Noa Ben Shoshan, Yossi Mizrachi, Liliya Tamayev, Tal Ben-Ari, Eran Weiner, Giulia Barda
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引用次数: 0

摘要

研究目的本研究旨在探讨妊娠糖尿病(GDM)患者餐后1小时与餐后2小时接受餐后血糖监测的产科和新生儿结局:在这项前瞻性队列研究中,我们纳入了2019年7月至2021年6月期间转诊至本医疗中心的GDM患者。患者根据自己的喜好选择餐后血糖监测的时间。我们比较了餐后 1 小时和餐后 2 小时进行餐后血糖监测(PPG1 与 PPG2)的患者的产科和新生儿结局以及患者满意度。主要结果是出生体重。研究结果表明,出生体重增加 250 克时,就能检测到该结果:共纳入 99 名患者:PPG1组和PPG2组各有50人和49人。两组的基线特征相当。PPG1 组和 PPG2 组新生儿的出生体重相似(分别为 3319 ± 355 克和 3319 ± 520 克,P = 0.99)。研究组之间的血糖控制、分娩方式、分娩时的胎龄和满意率也相似:结论:对于 GDM 患者,餐后 1 小时与餐后 2 小时的产科和新生儿结局相似,满意率也相似。因此,我们建议指导患者根据个人喜好选择其中一种策略。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Does the timing of postprandial glucose monitoring affect the obstetric and neonatal outcomes in patients with gestational diabetes? A prospective study comparing 1 and 2-h postprandial monitoring.

Objective: The aim of this study was to examine the obstetrical and neonatal outcomes in patients with gestational diabetes mellitus (GDM) who had postprandial glucose monitoring 1 vs. 2 h following meals.

Study design: In this prospective cohort study, we included patients with GDM who were referred to our medical center between July 2019 and June 2021. Patients chose the timing of postprandial glucose monitoring based on their own preferences. Obstetrical and neonatal outcomes, as well as patient satisfaction, were compared between patients who performed postprandial glucose monitoring 1 and 2 h after meals (PPG1 vs. PPG2). The primary outcome was birth weight. The study was powered to detect a 250 g increase in birth weight.

Results: Overall, 99 patients were included: 50 in the PPG1 group and 49 in the PPG2 group. Baseline characteristics were comparable between the groups. Neonates in the PPG1 and PPG2 groups had similar birth weights (3319 ± 355 vs. 3319 ± 520 g, respectively, p = 0.99). Glycemic control, mode of delivery, gestational age at delivery, and satisfaction rates were also similar between the study groups.

Conclusion: In patients with GDM, performing1 vs. 2 h following meals resulted in similar obstetrical and neonatal outcomes and similar satisfaction rates. We therefore recommend counseling patients to choose either strategy based on their personal preference.

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来源期刊
CiteScore
4.70
自引率
15.40%
发文量
493
审稿时长
1 months
期刊介绍: Founded in 1870 as "Archiv für Gynaekologie", Archives of Gynecology and Obstetrics has a long and outstanding tradition. Since 1922 the journal has been the Organ of the Deutsche Gesellschaft für Gynäkologie und Geburtshilfe. "The Archives of Gynecology and Obstetrics" is circulated in over 40 countries world wide and is indexed in "PubMed/Medline" and "Science Citation Index Expanded/Journal Citation Report". The journal publishes invited and submitted reviews; peer-reviewed original articles about clinical topics and basic research as well as news and views and guidelines and position statements from all sub-specialties in gynecology and obstetrics.
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