先兆子痫与妊娠糖尿病严重程度的关系:血糖控制程度的影响
The association between preeclampsia and the severity of gestational diabetes: The impact of glycemic control作者机构：Dept. of Obstetrics and Gynecology St. Luke’s-Roosevelt Hospital Center Univ. Hosp. Columbia Univ. New Y. San Antonio TX United States
出 版 物：《世界核心医学期刊文摘（妇产科学分册）》 (Core Journal in Obstetrics/Gynecology)
年 卷 期：2005年第1卷第4期
页 面：15-16页
学科分类：1002[医学-临床医学] 100211[医学-妇产科学] 10[医学]
主 题：血糖控制程度 妊娠糖尿病 先兆子痫 平均血糖水平 血糖控制水平 口服糖耐量试验 空腹血糖 高血糖 程度分析 严重度
摘 要：Objectives We sought to determine if the rate of preeclampsia is related to the severity of gestational diabetes mellitus (GDM), and if it can be decreased by optimizing glycemic control. Study design A retrospective analysis of prospectively collective data of 1813 patients with GDM was performed to determine the rate of preeclampsia. Patients were stratified after treatment was begun by level of glycemic control (well controlled was defined as mean blood glucose 105 revealed that the rate of preeclampsia increased significantly, 7.8%vs 13.8%, (O.R 1.81, 95%CI 1.3-2.51). For GDM patients with only mild hyperglycemia (FPG 95 mg/dL, n=819), a comparison between severity threshold of FPG 115 revealed that the preeclampsia rate was 9.8%vs 18%(O.R 2.56, 95%C.I. 1.5-4.3). In a logistic regression model, only prepregnancy BMI (O.R 2.3, 95%CI 1.16-2.30) and severity of GDM (O.R 1.7, 95%CI 1.21-2.38) were indepen
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