妊娠期糖尿病患者的临床治疗进展

Q4 Medicine

中华围产医学杂志 Pub Date : 2020-02-16 DOI:10.3760/CMA.J.ISSN.1007-9408.2020.02.008

Qianqian Xu, Huixia Yang

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引用次数: 0

摘要

既往存在糖尿病的孕妇的不良产妇和新生儿结局增加。孕前计划对于避免意外怀孕和减轻先天性缺陷的风险是必要的。建议的糖化血红蛋白目标是孕前<6.5%，孕期<6.0%。糖尿病并发症的筛查和管理是至关重要的，需要达到严格的血压控制目标，特别是对于合并肾病的患者。怀孕期间持续的血糖监测可能有助于改善1型糖尿病妇女的血糖控制。对于已有糖尿病的孕妇来说，胰岛素仍然是一线治疗方法。优化血糖控制、适当的用药方案和密切关注合并症有助于最大限度地减少孕产妇和新生儿不良结局，并确保孕前、孕期和产后糖尿病妇女的临床管理质量。关键词:糖尿病;妊娠期;孕前保健;产前护理;产后护理;病人护理;临床协议

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Advances in clinical management of pregnant women with preexisting diabetes

Pregnant women with preexisting diabetes have increased adverse maternal and neonatal outcomes. Preconception planning is necessary for avoiding unintended pregnancies and mitigating risk of congenital defects. The recommended glycosylated hemoglobin goals are <6.5% before conception and <6.0% during pregnancy. Screening and management for diabetic complications are critical, strict blood pressure control goal need to be achieved, especially for those complicated by nephropathy. Continuous glucose monitoring during pregnancy might help improve blood glucose control for women with type 1 diabetes. Insulin is still the first-line therapy for pregnant women with preexisting diabetes. Optimization of glycemic control, appropriate medication regimens and close attention to comorbidities can help minimize the maternal and neonatal adverse outcomes and ensure the quality of clinical management for women with preexisting diabetes before, during, and after pregnancy. Key words: Diabetes, gestational; Preconception care; Prenatal care; Postnatal care; Patient care; Clinical protocols

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来源期刊

中华围产医学杂志 Medicine-Obstetrics and Gynecology

CiteScore

0.70

自引率

0.00%

发文量

4446

期刊介绍： Chinese Journal of Perinatal Medicine was founded in May 1998. It is one of the journals of the Chinese Medical Association, which is supervised by the China Association for Science and Technology, sponsored by the Chinese Medical Association, and hosted by Peking University First Hospital. Perinatal medicine is a new discipline jointly studied by obstetrics and neonatology. The purpose of this journal is to "prenatal and postnatal care, improve the quality of the newborn population, and ensure the safety and health of mothers and infants". It reflects the new theories, new technologies, and new progress in perinatal medicine in related disciplines such as basic, clinical and preventive medicine, genetics, and sociology. It aims to provide a window and platform for academic exchanges, information transmission, and understanding of the development trends of domestic and foreign perinatal medicine for the majority of perinatal medicine workers in my country.