在接受静脉输血葡萄糖耐受性测试以查妊娠糖尿病的患者中,新生儿结局
Jia Jennifer Ding1, Erika F Werner2, Nina K Ayala3
1Department of Obstetrics, Gynecology and Reproductive Sciences, Yale School of Medicine, New Haven, CT.
Rhode Island medical journal (2013)
|December 18, 2024
概括
静脉注射葡萄糖耐受性测试 (IV GTT) 是在无法完成口服葡萄糖耐受性测试 (OGTT) 的患者中查妊娠糖尿病 (GDM) 的可行替代方案. 异常的IV GTT结果与妊娠年龄较大的新生儿的风险增加有关.
科学领域:
- 产科和妇科 产科和妇科
- 新生儿科学 新生儿科学
- 内分泌学 在内分泌学.
背景情况:
- 孕期糖尿病 (GDM) 对孕妇和新生儿构成重大风险.
- 对于无法耐受口服葡萄糖耐受性测试 (OGTT) 的患者,没有确定的替代方案.
研究的目的:
- 评估新生儿结局使用静脉注射葡萄糖耐受性测试 (IV GTT) 对OGTT不耐受个体进行GDM查.
主要方法:
- 一项前性队列研究从2019年2月到2020年2月招募了115名不耐受OGTT的患者.
- 参与者接受了IV GTT,并根据三个月特定的截止时间进行葡萄糖监测.
- 样本大小计算以检测妊娠年龄大 (LGA) 新生儿的25%差异.
主要成果:
- 13.0%的参与者有异常的IV GTT结果,在双胞胎怀孕中更频繁.
- 在正常和异常IV GTT组之间,母亲的结果是可比的.
- 异常的IV GTT与较高的LGA新生儿率 (23.1%对3.1%) 和较低的新生儿血糖水平有关.
结论:
- 异常的IV GTT结果表明与GDM相关的新生儿病率显著.
- 在OGTT无法实现的情况下,IV GTT是GDM查的实用替代方案,特别是用于评估新生儿并发症.
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