贝尼苏韦夫省孕妇妊娠期糖尿病的患病率及其对母胎结局的危害

M. Salem, Mona Othman, A. Faheem, Khaled El Hadidy
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摘要

糖尿病(DM)在世界范围内呈上升趋势,尤其是在发展中国家。年龄、BMI、体重、婚龄、糖尿病家族史增加是妊娠期糖尿病的高危因素。这项工作的目的是估计妊娠糖尿病的流行率在巴尼-苏韦夫省的孕妇和其危害的母亲和后代。本研究纳入了1000名孕龄在24 ~ 28周的孕妇,并对其结果进行了随访。首先填写一份包含一般信息的形式表格,然后将研究人群分为两组。第1组采用随机血糖(RBS)筛查,第2组按照WHO GDM指南进行标准化2h -75口服葡萄糖耐量试验(OGTT)筛查。我们的研究发现GDM的患病率为2.6%。年龄、BMI增高、糖尿病家族史阳性、双胎妊娠史阳性均有统计学意义。在PCO史、GDM史和宏观婴儿史方面,差异均无统计学意义。我们建议在妊娠24周之前进行筛查,无论是否有其他危险因素,对于GDM, BMI、年龄、体重增加、有糖尿病病史的妇女必须考虑为高危人群。所有诊断为GDM的妇女应密切监测血糖控制,以获得良好的母婴结局。
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The prevalance of gestational diabetes mellitus among pregnant females in Beni-Suef governorate and its hazards on the maternal and fetal outcome .
: Diabetes mellitus (DM) is increasing worldwide especially in developing countries. Increasing age, BMI, weight, martial period and family history for diabetes are highly prone to gestational diabetes mellitus. The aim of this work is to estimate prevalence of GDM among pregnant females in Bani-Suef governorate and its hazards on mother and offspring. Our present study was included 1000 pregnant females were followed and their outcomes with estimated gestational age between 24th and 28th week. At first a proforma containing general information was fulfilled, Then the study population were divided into two groups . 1 st group was screened by Random Blood Sugar (RBS) while 2 nd group was screened by a standardized 2h -75 Oral Glucose Tolerance Test (OGTT) according to WHO guidelines of GDM. Our study detected the prevalence of GDM was 2.6%. There was statistically significance of increasing age and BMI, positive family history of DM and positive history of twin pregnancy. There was no statistically significance as regards history of PCO, past history of GDM and past history of macrocosmic baby. We recommend the early screening before 24th week of gestation, for GDM regardless of any other risk factors and those women with increased BMI, age, weight and positive history of diabetes mellitus has to be considered as high-risk group. All GDM diagnosed women should be closely monitored for glycemic control for good maternal and fetal outcome.
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