妊娠糖尿病与分娩镇痛:基于芬兰全国登记册的分析

I. Kuitunen, S. Vähä-Tuisku, T. Huttunen
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摘要

(Acta Diabetol. 2022; 59:1515-1517)糖尿病(DM)对患者的镇痛有影响,因此需要增加术后镇痛剂量。必须更好地研究妊娠糖尿病(GDM)对分娩镇痛的影响。美国国家健康与护理卓越研究所(National Institute for Health and Care Excellence)缺乏相关建议。一项单独的研究发现,GDM 患者在剖宫产(CD)后阿片类药物的使用量增加,因为这些患者通常更加肥胖。之前的分析显示,基于肥胖等级的分娩镇痛差异很小。随着 GDM 发病率的上升,了解其对分娩镇痛的影响至关重要。我们的国家级研究旨在比较 GDM 和非 GDM 患者的分娩镇痛情况,以弥补这一研究空白。
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Gestational Diabetes Mellitus and Labor Analgesia: Nationwide Register‐Based Analysis in Finland
(Acta Diabetol. 2022;59:1515–1517) Diabetes mellitus (DM) has an impact on patient analgesia, necessitating higher postoperative analgesia doses. Gestational DM’s (GDM) influence on labor analgesia must be studied better. The National Institute for Health and Care Excellence lacks recommendations. A lone study found increased opioid use postcesarean delivery (CD) in GDM patients, who are generally more obese. Previous analyses revealed minimal differences in labor analgesia based on obesity grade. With rising GDM incidence, understanding its impact on labor analgesia is crucial. Our national-level study aims to compare labor analgesia between GDM and non-GDM patients, addressing this gap in research.
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