多囊卵巢综合征患者并发妊娠期糖尿病的预测因素及干预措施的研究进展
Progress in the study of predictive factors of gestational diabetes mellitus in patients with polycystic ovary syndrome as a complication of pregnancy
胡曼曼 1燕美琴 2范洪媛 3张翰笙1
作者信息
- 1. 山西医科大学护理学院,太原 030001
- 2. 山西医科大学附属儿童医院科教科,太原 030013
- 3. 山东中医药高等专科学校护理系,烟台 264100
- 折叠
摘要
多囊卵巢综合征(polycystic ovary syndrome,PCOS)是育龄期女性最常见的内分泌紊乱疾病,病因及发病机制尚不明确.PCOS患者经常表现出胰岛素抵抗、肥胖和不孕,增加诸如妊娠期糖尿病(gestational diabetes mellitus,GDM)等一系列妊娠期并发症的风险.研究显示PCOS患者GDM患病风险高于年龄和体质量指数匹配的健康妊娠孕妇3倍,而早期识别GDM高危孕妇并采取针对性的干预措施能显著改善患者妊娠结局.因此,本文综述了PCOS患者并发GDM的预测因素,提出高危因素筛查建议并探讨了生活方式改善措施,旨在为GDM高危孕妇的识别、良好生活方式的建立提供一定的参考依据.
Abstract
Polycystic ovary syndrome(PCOS)is the most prevalent endocrine disorders in women of reproductive age,yet its etiology and pathogenesis remain unclear.Women with PCOS frequently present with insulin resistance,obesity,and infertility,which heightens the risk of various pregnancy complications such as gestational diabetes mellitus(GDM).Research has demonstrated that PCOS patients have a three-fold higher risk of developing GDM compared with healthy pregnant women matched with age and body mass index.Early identification of pregnant women at high risk for GDM and targeted intervention measures can significantly enhance patients'outcomes.Therefore,this article aims to review predictive factors for GDM in patients with PCOS,propose suggestions for screening high-risk factors,and discuss measures to improve lifestyle.The objective is to provide a reference for identifying high-risk pregnant women with GDM and establishing a healthy lifestyle.
关键词
多囊卵巢综合征/妊娠期糖尿病/胰岛素抵抗Key words
Polycystic ovary syndrome/Diabetes,gestational/Insulin resistance引用本文复制引用
基金项目
山西省卫生健康委科研课题(2021130)
山西省科技战略研究专项(202204031401159)
山西省研究生教育创新计划(2024SJ197)
出版年
2024
NETL
NSTL
万方数据