2010-2020年挪威妊娠糖尿病的患病率和治疗方法
Lars J Kjerpeseth1, Vidar Hjellvik1, Hanne L Gulseth2
1Department of Chronic Diseases, Norwegian Institute of Public Health, Oslo, Norway.
Diabetes research and clinical practice
|November 24, 2023
概括
在挪威,怀孕期糖尿病 (GDM) 的诊断和治疗在2017年指导方针之后得到了改善. 在2016年之前,GDM患病率上升,然后稳定下来,观察到查和药物治疗的增加.
科学领域:
- 产科和妇科 产科和妇科
- 公共卫生 公共卫生
- 内分泌学 在内分泌学.
背景情况:
- 孕期糖尿病 (GDM) 影响母亲和婴儿的健康.
- 了解GDM趋势和治疗对于公共卫生倡议至关重要.
- 挪威在2017年实施了新的国家GDM指导方针.
研究的目的:
- 估计2010年至2020年挪威GDM的流行率.
- 评估GDM治疗模式,包括药理干预措施.
- 评估2017年国家GDM指南对诊断和治疗的影响.
主要方法:
- 全国范围的队列研究使用出生,处方和医疗保健登记册.
- 分析了2010年至2020年期间633169例怀孕情况.
- 按母亲的BMI,年龄,教育和出生地进行分层分析.
主要成果:
- GDM患病率从2010年的2.6%增加到2016年的6.0%,然后停滞不前.
- 对GDM的药理治疗从2010年的11.6%增加到2020年的31.6%.
- 在推的妊娠周 (24-28) 内的诊断从2010年的19%上升到2020年的45%.
结论:
- 2017年新的GDM指导方针导致了及时诊断和药物治疗的增加.
- 在2016年之前,GDM患病率呈现上升趋势,随后趋于稳定.
- 该研究强调了在改善GDM护理方面成功实施指南.
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