摘要
妊娠期糖尿病(GDM)不仅发病率高,还可能导致妊娠期高血压、巨大儿、新生儿低血糖等多种母婴不良结局。目前,GDM还没有通用的筛查和诊断方法,许多危险因素可影响该病的发生和发展。本文就孕早期常见血生化检验指标(血常规、肝肾功能、糖类指标、维生素D和铁蛋白)对GDM的预测价值进行综述,以期为建立合理的GDM孕早期预测模型提供依据,从而实现早诊断、早干预,改善母婴结局。
Gestational diabetes mellitus(GDM) not only has a high incidence rate, but also may lead to pregnancy hypertension, macrosomia, neonatal hypoglycemia and other adverse outcomes for mothers and infants. At present, there is no universal screening and diagnosis method for GDM, and many risk factors can affect the occurrence and development of the disease. This paper reviewed the predictive value of common blood biochemicaltest indexes(blood routine, liver and kidney function, carbohydrate indexes, vitamin D and ferritin) for GDM in early pregnancy, in order to provide a basis for establishing a reasonable prediction model of GDM in early pregnancy, so as to realize early diagnosis, early intervention and improve maternal and infant outcomes.
作者
张婷
黄欢
ZHANG Ting;HUANG Huan(Department of Obstetrics,the First Affiliated Hospital of Nanjing Medical University,Nanjing,Jiangsu,210029;Department of Obstetrics,Gaochun People′s Hospital of Nanjing City in Jiangsu Province,Nanjing,Jiangsu,211300)
出处
《实用临床医药杂志》
CAS
2021年第24期128-132,共5页
Journal of Clinical Medicine in Practice
基金
国家自然科学基金项目(81741040)。
关键词
妊娠期糖尿病
生化指标
早期预测
不良妊娠结局
gestational diabetes mellitus
biochemical index
early prediction
adverse pregnancy outcome
