摘要
妊娠合并糖尿病是导致死胎发生率升高的一个重要危险因素,其发生机制复杂。高血糖、低血糖诱发的微血管病变可能是死胎的关键环节。随着妊娠合并糖尿病筛查方法的普及、产前监护和治疗措施的改进,死胎的发生率明显下降。重视妊娠期糖尿病的规范化管理,尤其是开展孕前咨询、加强孕期高血糖的筛查与管理、合理监护、及时终止妊娠是降低死胎发生的关键。
Pregnancy complicated with diabetes is an important risk factor of the rising of stillbirth rate. Its mechanism is complex, and microvascular diseas- es induced by hyperglycemia or hypoglycemia may be a key step of stillbirth.With the popularity of screening methods of pregnancy associated with dia- betes, the improvement of prenatal care and treat- ment, the incidence of stillbirth was significantly de- creased.Pay attention to the standardized manage- ment of gestational diabetes mellitus, especially car- rying out preconception counseling, strengthening the screening and management of hyperglycemia dur- ing pregnancy, rational prenatal care, and timely de- livery are the key to reducing the incidence of still- birth.
出处
《中国实用妇科与产科杂志》
CAS
CSCD
北大核心
2017年第11期1125-1128,共4页
Chinese Journal of Practical Gynecology and Obstetrics
关键词
死胎
妊娠
糖尿病
微血管病变
高血糖:低血糖
stillbirth
pregnancy
diabetes mellitus
microvascular disease
hyperglycemia
hypoglycemia
