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目的:探讨影响妊娠期糖尿病(GDM)孕妇产后糖代谢异常情况的因素,并且筛选出孕妇产后导致异常糖代谢的因素,并对于妊娠期糖尿病的远期发生情况作以探讨。方法:选取2015年7月1日—2016年1月31日在北京某医院进行分娩并且有产后随访的60位妊娠期糖尿病孕妇(代谢异常)患者作为调查样本,其中有远期(2—10年)的随访患者20例。结果:在产后随访中诊断为显性糖尿病的患者有29例,对于糖耐量指标降低者10例,通过两组调查样本的结果对照可以发现其间的差异。结论:患妊娠期糖尿病的孕妇在生产后有部分患者的糖代谢不能正常的恢复,对于一些家族病史、空腹血糖高、孕期胰岛素治疗等患者尤为如此,因此产后的近期糖代谢较为正常的孕妇,也需要长期的访查。
Objective: To investigate the factors affecting the postpartum abnormal glucose metabolism in pregnant women with gestational diabetes mellitus (GDM), and to screen out the factors that cause postprandial abnormal glucose metabolism in pregnant women and to investigate the long-term occurrence of gestational diabetes mellitus. Methods: Sixty pregnant women (metabolic disorders) with gestational diabetes mellitus who were delivered at a hospital in Beijing from July 1, 2015 to January 31, 2016 and who had postpartum follow-up were selected as the survey sample. Among them, the long-term Year) were followed up in 20 patients. RESULTS: Twenty-nine patients were diagnosed as having overt diabetes at postnatal follow-up. Ten patients had impaired glucose tolerance, and the differences between the two surveyed samples were found. Conclusion: Some pregnant women with gestational diabetes can not recover their glucose metabolism properly after birth. This is especially true for some family history, high fasting blood glucose and insulin therapy during pregnancy. Therefore, the recent postpartum glucose metabolism is more normal in pregnant women, It also requires long-term visits.