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妊娠期糖尿病发病机制的研究进展

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妊娠期糖尿病(GDM)是妊娠期常见的代谢性疾病之一,该疾病与各种不良的孕妇、胎儿和围产期结局有关,可增加先兆子痫、早产、剖宫产、宫内窘迫、巨大儿、新生儿呼吸窘迫、母婴将来罹患2型糖尿病等代谢性疾病及心血管疾病的风险.近年来,GDM发病率明显增高,目前认为GDM与2型糖尿病发病机制相似,是由胰岛素抵抗,胰岛β细胞功能受损,脂肪因子,炎症因子等多种原因引起的妊娠期葡萄糖耐量异常.现就GDM的发病机制进行综述.
Progress of Research on the Pathogenesis of Gestational Diabetes Mellitus
Gestational diabetes mellitus(GDM)is one of the common metabolic disorders in pregnancy.It is associated with a variety of adverse maternal,fetal,and perinatal outcomes and can increase the risk of preeclampsia,preterm labor,cesarean sec-tion,intrauterine distress,macrosomia,neonatal respiratory distress,future metabolic disorders such as type 2 diabetes mellitus in both mother and child,and cardiovascular disease.The incidence of GDM has increased significantly in recent years,and it is now believed that GDM is similar to the pathogenesis of type 2 diabetes mellitus,and that it is an abnormality of glucose tolerance in pregnancy caused by a variety of reasons,such as insulin resistance,impaired pancreatic β-cell function,adipokines,inflammatory factors,and so on.The article reviews the pathogenesis of GDM.

Gestational diabetesInsulin resistanceIslet β-cell dysfunctionInflammatory factorAdipokine

龚浩、高白冰、侯佳妮、钟鑫媛、卢宇

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大连医科大学研究生院,辽宁 大连 116044

泰州市人民医院内分泌科,江苏 泰州 225300

妊娠期糖尿病 胰岛素抵抗 胰岛β细胞功能受损 炎症因子 脂肪因子

2024

黑龙江医学
中华医学会黑龙江分会

黑龙江医学

影响因子:0.714
ISSN:1004-5775
年,卷(期):2024.48(2)
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