[1]左俊芳,刘沙沙,崔洪艳.妊娠期糖尿病高危因素及预防措施研究[J].医学信息,2022,35(17):177-180.[doi:10.3969/j.issn.1006-1959.2022.17.048]
 ZUO Jun-fang,LIU Sha-sha,CUI Hong-yan.Study on High Risk Factors and Preventive Measures of Gestational Diabetes Mellitus[J].Journal of Medical Information,2022,35(17):177-180.[doi:10.3969/j.issn.1006-1959.2022.17.048]
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妊娠期糖尿病高危因素及预防措施研究()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
35卷
期数:
2022年17期
页码:
177-180
栏目:
综述
出版日期:
2022-09-01

文章信息/Info

Title:
Study on High Risk Factors and Preventive Measures of Gestational Diabetes Mellitus
文章编号:
1006-1959(2022)17-0177-04
作者:
左俊芳刘沙沙崔洪艳
(天津市中心妇产科医院产科,天津 300000)
Author(s):
ZUO Jun-fangLIU Sha-shaCUI Hong-yan
(Department of Obstetrics,Tianjin Central Obstetrics and Gynecology Hospital,Tianjin 300000,China)
关键词:
妊娠期糖尿病肥胖年龄维生素D多囊卵巢综合征
Keywords:
GestationaldiabetesObesityAgeVitaminDPolycystic ovary syndrome
分类号:
R587.1
DOI:
10.3969/j.issn.1006-1959.2022.17.048
文献标志码:
A
摘要:
妊娠期糖尿病(GDM)为孕期常见合并症,其危害大、影响广,对母婴结局及子代健康均具有严重影响,是导致多种不良妊娠结局的重要原因之一。目前,该病病因尚未完全明确,随着相关研究的不断扩展,大量报道显示,该病的高危因素可涉及肥胖、年龄、维生素D、多囊卵巢综合征及饮食习惯等,通过对以上因素的预防,可有效降低妊娠期糖尿病的发生风险,对母婴结局的改善具有重要意义。本文主要综述妊娠期糖尿病的高危因素及预防措施,旨在为该病的预防奠定理论基础。
Abstract:
Gestational diabetes mellitus (GDM) is a common complication during pregnancy. It has a serious impact on maternal and child outcomes and offspring health. It is one of the important causes of a variety of adverse pregnancy outcomes.At present, the etiology of the disease is not completely clear. With the continuous expansion of related research, a large number of reports have shown that the risk factors of the disease can involve obesity, age, vitamin D, polycystic ovary syndrome and eating habits. Through the prevention of the above factors, the risk of gestational diabetes can be effectively reduced, which is of great significance to the improvement of maternal and infant outcomes. This article reviews the risk factors and preventive measures of gestational diabetes, in order to lay a theoretical foundation for the prevention of the disease.

参考文献/References:

[1]王志君,范晶晶,潘小红.妊娠期糖尿病孕妇母婴结局及其糖化血红蛋白含量分析[J].中国计划生育和妇产科,2019,11(3):60-63.[2]高翠君,黄新梅,陈灶萍,等.妊娠早期血红蛋白水平与发生妊娠期糖尿病的相关性分析[J].中华妇产科杂志,2019,54(10):654-659.[3]王金凤.妊娠期糖尿病危险因素及对妊娠结局的影响[J].中国医药导报,2017,14(24):135-138.[4]Najafi F,Hasani J,Izadi N,et al.The effect of prepregnancy body mass index on the risk of gestational diabetes mellitus:a systematic review and dose-response meta-analysis[J].Obes Rev,2019,20(3):472-486.[5]Longmore DK,Barr ELM,Lee IL,et al.Maternal body mass index, excess gestational weight gain, and diabetes are positively associated with neonatal adiposity in the Pregnancy and Neonatal Diabetes Outcomes in Remote Australia (PANDORA) study[J].Pediatr Obes,2019,14(4):e12490.[6]郭艳军,王华,邹燕.孕前超重和肥胖对孕期糖脂代谢及妊娠结局的影响[J].中国计划生育学杂志,2019,27(6):814-818.[7]Ellulu MS,Patimah I,Khaza’ai H,et al.Obesity and inflammation: the linking mechanism and the complications[J].Arch Med Sci,2017,13(4):851-863.[8]MacDonald SC,Bodnar LM,Himes KP,et al.Patterns of gestational weight gain in early pregnancy and risk of gestational diabetes mellitus[J].Epidemiology,2017,28(3):419-427.[9]Ayd?覦n H,?覶elik?觟,Yaz?覦c?覦 D,et al.Prevalence and predictors of gestational diabetes mellitus: a nationwide multicentre prospective study[J].Diabet Med,2019,36(2):221-227.[10]Kahveci B,Melekoglu R,Evruke IC,et al.The effect of advanced maternal age on perinatal outcomes in nulliparous singleton pregnancies[J].BMC Pregnancy Childbirth,2018,18(1):343.[11]Sarker M,Bacheller HL,CaugheyAB,et al.447:Maternal age impacts rates of gestational diabetes and cesarean section with delayed PNC[J].Am J Obstet Gynecol,2020,222(1):S293-S294.[12]Laine MK,Kautiainen H,Gissler M,et al.Gestational diabetes in primiparous women–impact of age and adiposity:a register‐based cohort study[J].Acta Obstet Gynecol Scand,2018,97(2):406-414. [13]赵丹青,韦艳,沈立明,等.妊娠期糖尿病高危因素的调查研究[J].贵州医科大学学报,2017,42(9):1041-1045.[14]Al-Ajlan A,Al-Musharaf S,Fouda MA,et al.Lower vitamin D levels in Saudi pregnant women are associated with higher risk of developing GDM[J].BMC Pregnancy Childbirth,2018,18(1):86.[15]Hu LM,Zhang Y,Wang X,et al.Maternal vitamin D status and risk of gestational diabetes: a meta-analysis[J].Cell Physiol Biochem,2018,45(1):291-300.[16]严敏婵,项旭慧,徐丹萍,等.孕妇维生素D水平与妊娠期糖尿病及新生儿体质量关系研究[J].中国预防医学杂志,2018,19(11):852-855.[17]张玮,魏建涛,陈小兰.妊娠期维生素D水平与母婴结局的相关性[J].医学临床研究,2017,34(2):300-302.[18]刘丽,刘素新,刘翠莲,等.维生素D及其代谢相关基因与妊娠期糖尿病关系的研究[J].实用妇产科杂志,2022,38(4):296-300.[19]Rubin KH,Glintborg D,Nybo M,et al.Development and risk factors of type 2 diabetes in a nationwide population of women with polycystic ovary syndrome[J].J Clin Endocrinol Metab,2017,102(10):3848-3857.[20]李向尊.多囊卵巢综合征患者妊娠期糖尿病的临床发病率及诊断[J].中国妇幼保健,2018,33(10):2226-2227.[21]赵文华.多囊卵巢综合征病人妊娠并发症的临床观察[J].内蒙古医科大学学报,2019,41(2):121-125.[22]陈军,罗英,周正琴.孕中、晚期多囊卵巢综合征患者发生妊娠期糖尿病的危险因素分析[J].重庆医科大学学报,2018,43(2):245-249.[23]冯艳,于泉,宋新娜,等.多囊卵巢综合征合并妊娠期糖尿病患者铁代谢与胰岛素抵抗的关系[J].中华内分泌外科杂志,2020,14(2):161-165.[24]Mijatovic-Vukas J,Capling L,Cheng S,et al.Associations of dietand physical activity with risk for gestational diabetes mellitus:asystematic review and meta-analysis[J].Nutrients,2018,10(6):E698.[25]张馨文,张燕,胡晏馨,等.高脂饮食诱导妊娠期糖尿病大鼠模型的建立[J].昆明医科大学学报,2016,37(11):8-13.[26]车千红,董幼丹,赵文娟,等.饮食因素与妊娠期糖尿病关系研究[J].现代预防医学,2010,37(1):34-35.[27]Taschereau-Charron A,daSilva MS,Bilodeau JF,et al.Alterations of fatty acid profiles in gestational diabetes and influence of the diet[J].Maturitas,2017,99:98-104.[28]Ba Chaspati D.Screening of Gestational Diabetes and its correlation with Maternal and Prenatal Morbidity[J].PLoS One,2020,15(8):325-331.[29]Jin SM,Ahn J,Park J,et al.East Asian diet-mimicking diet plan based on the Mediterranean diet and the Dietary Approaches to Stop Hypertension diet in adults with type 2 diabetes: a randomized controlled trial[J].J Diabetes Investig,2021,12(3):357-364.[30]Mahjoub F,BenJemaa H,BenSabeh F,et al.Impact of nutrients and Mediterranean diet on the occurrence of gestational diabetes[J].Libyan J Med,2021,16(1):1930346.[31]Wan CS,Nankervis A,Teede H,et al.Dietary intervention strategies for ethnic Chinese women with gestational diabetes mellitus: a systematic review and meta-analysis[J].Nutr Diet,2019,76(2):211-232.[32]Wang C,Wei YM,Zhang XM,et al.A randomized clinical trial of exercise during pregnancy to prevent gestational diabetes mellitus and improve pregnancy outcome in overweight and obese pregnant women[J].Am J Obstet Gynecol,2017,216(4):340-351.[33]黄喜珍,韦少雪,罗正盛,等.孕期运动对妊娠期糖尿病孕妇维生素D水平和新生儿体重的影响及可能机制分析[J].临床和实验医学杂志,2021,20(3):313-316.[34]钟鑫,黄秋红,覃尹,等.不同运动方式对妊娠期糖尿病患者代谢指标及妊娠结局的影响研究[J].中国全科医学,2022,25(6):699-705.[35]麦婷婷,张莹,吴曼.二甲双胍对超重/肥胖多囊卵巢综合征病人妊娠率及妊娠期糖尿病发病率的影响[J].内蒙古医科大学学报,2019,41(1):74-77.[36]Bidhendi YR,Behboudi-Gandevani S,Amiri M,et al.Metformin therapy before conception versus throughout the pregnancy and risk of gestational diabetes mellitus in women with polycystic ovary syndrome:a systemic review, meta-analysis and meta-regression[J].Diabetol Metab Syndr,2019,11:58.

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更新日期/Last Update: 1900-01-01