{"id":49501,"date":"2017-06-01T00:00:00","date_gmt":"2017-06-01T00:00:00","guid":{"rendered":"https:\/\/www.cpr.cuhk.edu.hk\/press\/cuhk-recommends-oral-glucose-tolerance-test-for-all-pregnant-womenstudy-reveals-children-of-women-with-gestational-diabetes-mellitus-have-3-fold-diabetes-risk\/"},"modified":"2017-06-01T00:00:00","modified_gmt":"2017-06-01T00:00:00","slug":"cuhk-recommends-oral-glucose-tolerance-test-for-all-pregnant-womenstudy-reveals-children-of-women-with-gestational-diabetes-mellitus-have-3-fold-diabetes-risk","status":"publish","type":"press","link":"https:\/\/www.cpr.cuhk.edu.hk\/sc\/press\/cuhk-recommends-oral-glucose-tolerance-test-for-all-pregnant-womenstudy-reveals-children-of-women-with-gestational-diabetes-mellitus-have-3-fold-diabetes-risk\/","title":{"rendered":"\u4e2d\u5927\u5efa\u8bae\u6240\u6709\u5b55\u5987\u4f5c\u53e3\u670d\u8461\u8404\u7cd6\u8010\u91cf\u6d4b\u8bd5\u5168\u6e2f\u4e24\u6210\u5b55\u5987\u60a3\u598a\u5a20\u7cd6\u5c3f 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Care\u4e0a\u53d1\u8868\u3002<br \/><br \/><strong>\u5168\u6e2f\u6700\u5c11\u4e24\u6210\u5b55\u5987\u60a3\u598a\u5a20\u7cd6\u5c3f\u75c5<\/strong><br \/>&nbsp;<br \/>\u5987\u5973\u6000\u5b55\u65f6\u8840\u7cd6\u4e00\u822c\u4f1a\u7a0d\u4e3a\u4e0a\u5347\uff0c\u4e3a\u80ce\u513f\u63d0\u4f9b\u8425\u517b\uff0c\u4f46\u4ea6\u6709\u673a\u4f1a\u56e0\u8377\u5c14\u8499\u5206\u6ccc\u53d8\u5316\u589e\u52a0\u80f0\u5c9b\u7d20\u6297\u963b\uff0c\u5bfc\u81f4\u8840\u7cd6\u8fc7\u9ad8\uff0c\u6b64\u60c5\u51b5\u88ab\u79f0\u4e3a\u300c\u598a\u5a20\u7cd6\u5c3f\u75c5\u300d\u3002\u4e9a\u6d32\u4eba\u662f\u7cd6\u5c3f\u75c5\u53ca\u598a\u5a20\u7cd6\u5c3f\u75c5\u7684\u9ad8\u5371\u65cf\uff0c\u82e5\u5b55\u5987\u6709\u5176\u4ed6\u98ce\u9669\u56e0\u7d20\u5982\u80a5\u80d6\uff08\u5b55\u524d\u8eab\u9ad8\u4f53\u91cd\u6307\u6570(BMI) &ge; 25\u516c\u65a4\/\u5e73\u65b9\u7c73\uff09\u3001\u9ad8\u9f84 (35\u5c81\u6216\u4ee5\u4e0a)\u3001\u591a\u80de\u80ce\u3001\u66fe\u8bde\u4e0b4\u516c\u65a4\u4ee5\u4e0a\u5de8\u5a74\u6216\u5bb6\u65cf\u6709\u7cd6\u5c3f\u75c5\u60a3\u53f2\uff0c\u4fbf\u4f1a\u589e\u52a0\u60a3\u598a\u5a20\u7cd6\u5c3f\u75c5\u7684\u673a\u4f1a\u3002\u6000\u5b55\u671f\u95f4\u8fc7\u5206\u8fdb\u8865\u800c\u4ee4\u4f53\u91cd\u6025\u5347\u4ea6\u4f1a\u5bfc\u81f4\u598a\u5a20\u7cd6\u5c3f\u75c5\u3002\u636e2016\u5e74\u7684\u8d44\u6599\u63a8\u7b97\uff0c\u672c\u6e2f\u73b0\u65f6\u6700\u5c11\u670920%\u7684\u5b55\u5987\u60a3\u6709\u598a\u5a20\u7cd6\u5c3f\u75c5\uff0c\u8f8325\u5e74\u524d\u7684\u7ea612%\u660e\u663e\u589e\u52a0\u3002<br \/><br \/>\u5b55\u5987\u53ef\u900f\u8fc7\u53e3\u670d\u8461\u8404\u7cd6\u8010\u91cf\u6d4b\u8bd5\u786e\u8bca\u662f\u5426\u7f79\u60a3\u598a\u5a20\u7cd6\u5c3f\uff0c\u6839\u636e\u56fd\u9645\u5b9a\u4e49\uff0c\u5b55\u5987\u4e8e\u6d4b\u8bd5\u4e2d\u51e1\u7a7a\u8179\u8840\u7cd6\u6c34\u5e73&ge; 5.1\u6beb\u83ab\u5c14\/\u5347\u30011\u5c0f\u65f6\u8840\u7cd6\u6c34\u5e73&ge; 10\u6beb\u83ab\u5c14\/\u5347\uff0c\u62162\u5c0f\u65f6\u8840\u7cd6\u6c34\u5e73&ge; 8.5\u6beb\u83ab\u5c14\/\u5347\uff0c\u4fbf\u88ab\u8bca\u65ad\u4e3a\u598a\u5a20\u7cd6\u5c3f\u75c5\u3002\u598a\u5a20\u7cd6\u5c3f\u75c5\u5bf9\u6bcd\u4eb2\u53ca\u80ce\u513f\u5747\u4f1a\u5e26\u6765\u4e00\u8fde\u4e32\u5065\u5eb7\u98ce\u9669\uff0c\u4f8b\u5982\u598a\u5a20\u6bd2\u8840\u75c7\u3001\u5de8\u5a74\u3001\u65e9\u4ea7\u3001\u7f8a\u6c34\u8fc7\u591a\uff0c\u5b55\u5987\u6216\u9700\u5256\u8179\u751f\u4ea7\u3002\u4e2d\u5927\u6700\u65b0\u7684\u7814\u7a76\u53d1\u73b0\uff0c\u598a\u5a20\u7cd6\u5c3f\u75c5\u5e26\u6765\u7684\u95ee\u9898\uff0c\u5e76\u975e\u968f\u7740\u80ce\u513f\u51fa\u751f\u800c\u7ec8\u7ed3\u3002<br \/><br \/><strong>\u7814\u7a76\u8bc1\u598a\u5a20\u7cd6\u5c3f\u75c5\u4f1a\u589e\u52a0\u4e0b\u4e00\u4ee3\u8d85\u91cd\u53ca\u80a5\u80d6\u98ce\u96695\u6210<\/strong><br \/><br \/>\u4e2d\u5927\u533b\u5b66\u9662\u5987\u4ea7\u79d1\u5b66\u7cfb\u8054\u540c\u5185\u79d1\u53ca\u836f\u7269\u6cbb\u7597\u5b66\u7cfb\u53ca\u513f\u79d1\u5b66\u7cfb\u4e8e2009\u5e74\u81f32013\u5e74\u95f4\uff0c\u8ffd\u8e2a\u4e86\u8fd11,000\u540d\u65e9\u5e74\u53c2\u52a0\u4e86\u300c\u9ad8\u8840\u7cd6\u4e0e\u4e0d\u826f\u6000\u5b55\u7ed3\u679c\u300d\u5927\u578b\u56fd\u9645\u7814\u7a76(Hyperglycemia and Adverse Pregnancy Outcome Study\uff0c\u7b80\u79f0\u300cHAPO\u7814\u7a76\u300d) \u7684\u5987\u5973\uff0c\u8ddf\u8fdb\u4ea7\u540e7\u5e74\u598a\u5a20\u7cd6\u5c3f\u5bf9\u5979\u4eec\u53ca\u5176\u4e0b\u4e00\u4ee3\u7684\u5f71\u54cd\u3002\u7ed3\u679c\u5982\u4e0b\uff1a<\/p><table border=\"1\" cellspacing=\"0\" cellpadding=\"0\"><tbody><tr><td valign=\"top\" width=\"219\"><p>&nbsp;<\/p><\/td><td valign=\"top\" width=\"308\"><p align=\"center\"><strong>\u60a3\u598a\u5a20\u7cd6\u5c3f\u75c5\u6bcd\u4eb2\u4e4b\u5b50\u5973<br \/><\/strong><strong>\uff08<\/strong><strong>132\u4eba\uff09<\/strong><\/p><\/td><td valign=\"top\" width=\"293\"><p align=\"center\"><strong>\u8840\u7cd6\u6c34\u5e73\u6b63\u5e38\u6bcd\u4eb2\u4e4b\u5b50\u5973 <\/strong><strong>(794\u4eba)<\/strong><\/p><\/td><\/tr><tr><td valign=\"top\" width=\"219\"><p><strong>\u60a3\u7cd6\u5c3f\u75c5\u524d\u671f\u6216\u7cd6\u5c3f\u75c5<\/strong><\/p><\/td><td valign=\"top\" width=\"308\"><p align=\"center\">4.7%<\/p><\/td><td valign=\"top\" width=\"293\"><p align=\"center\">1.7%<\/p><\/td><\/tr><tr><td valign=\"top\" width=\"219\"><p><strong>\u8d85\u91cd\u6216\u80a5\u80d6<\/strong><\/p><\/td><td valign=\"top\" width=\"308\"><p align=\"center\">22.7%<\/p><\/td><td valign=\"top\" width=\"293\"><p align=\"center\">15.3%<\/p><\/td><\/tr><\/tbody><\/table><p>\u7ed3\u679c\u53d1\u73b0\uff0c\u60a3\u598a\u5a20\u7cd6\u5c3f\u7684\u5b55\u5987\u8bde\u4e0b\u4e4b\u5b50\u5973\u5728\u7ea67\u5c81\u65f6\uff0c\u51fa\u73b0\u7cd6\u5c3f\u75c5\u524d\u671f\u6216\u7cd6\u5c3f\u75c5\u7684\u673a\u4f1a\u7387\u662f\u540c\u9f84\u513f\u7ae5\u76843\u500d\uff0c\u8d85\u91cd\u53ca\u80a5\u80d6\u7684\u98ce\u9669\u9ad8\u51fa50%\u3002<br \/><br \/>\u6b64\u5916\uff0c\u7814\u7a76\u56e2\u961f\u68c0\u89c6\u6bcd\u4eb2\u5728\u6000\u5b55\u65f6\u7684\u53e3\u670d\u8461\u8404\u7cd6\u8010\u91cf\u6d4b\u8bd5\u7ed3\u679c\uff0c\u53d1\u73b0\u5979\u4eec\u76841\u5c0f\u65f6\u8840\u7cd6\u6c34\u5e73\u6bcf\u5347\u9ad81\u5ea6\uff08\u6bcf\u5ea6\u7b49\u4e8e1.6\u6beb\u83ab\u5c14\/\u5347\uff09\uff0c\u5176\u4e0b\u4e00\u4ee3\u76f8\u5e94\u51fa\u73b0\u7684\u5065\u5eb7\u98ce\u9669\u4fbf\u4f1a\u4e0a\u5347\uff0c\u5305\u62ec\uff1a<br \/><br \/>&bull;&nbsp;\u60a3\u7cd6\u5c3f\u75c5\u524d\u671f\u6216\u7cd6\u5c3f\u75c5\u7684\u98ce\u9669\u4e0a\u5347\u4e00\u500d<br \/>&bull;&nbsp;\u8d85\u91cd\u53ca\u80a5\u80d6\u7684\u98ce\u9669\u589e\u52a026% <br \/>&bull;&nbsp;\u9ad8\u8840\u538b\u524d\u671f\u53ca\u9ad8\u8840\u538b\u98ce\u9669\u589e\u52a022% <br \/><br \/><strong>\u4ea7\u540e\u5b9a\u671f\u68c0\u6d4b\u8840\u7cd6 \u4e0e\u5b50\u5973\u57f9\u517b\u826f\u597d\u996e\u98df\u4e60\u60ef<\/strong><br \/><br \/>\u4e0a\u8ff0\u7ed3\u679c\u663e\u793a\uff0c\u598a\u5a20\u7cd6\u5c3f\u75c5\u9664\u5f71\u54cd\u6bcd\u4eb2\u5916\uff0c\u4ea6\u662f\u5bfc\u81f4\u4e0b\u4e00\u4ee3\u60a3\u4e0a\u7cd6\u5c3f\u75c5\u3001\u5fc3\u8840\u7ba1\u75c5\u6216\u5176\u4ed6\u6162\u6027\u75be\u75c5\u7684\u4e3b\u8981\u5143\u51f6\u4e4b\u4e00\u3002\u8d1f\u8d23\u9886\u5bfc\u662f\u6b21\u7814\u7a76\u7684\u4e2d\u5927\u533b\u5b66\u9662\u5987\u4ea7\u79d1\u5b66\u7cfb\u6559\u6388<strong>\u8c2d\u6c38\u96c4\u6559\u6388<\/strong>\u5efa\u8bae\uff1a\u300c\u6240\u6709\u5b55\u5987\u90fd\u5e94\u8003\u8651\u5728\u6000\u5b5524\u5468\u81f328\u5468\u671f\u95f4\u8fdb\u884c\u53e3\u670d\u8461\u8404\u7cd6\u8010\u91cf\u6d4b\u8bd5\uff0c\u4ee5\u7b5b\u67e5\u598a\u5a20\u7cd6\u5c3f\u75c5\u3002\u6b64\u5916\uff0c\u5b55\u5987\u5e94\u4fdd\u6301\u826f\u597d\u996e\u98df\u53ca\u751f\u6d3b\u4e60\u60ef\uff0c\u5207\u52ff\u8fc7\u4efd\u8fdb\u8865\u3001\u8fc7\u91cf\u8fdb\u98df\u6216\u55dc\u751c\uff0c\u907f\u514d\u4f53\u91cd\u8d85\u6807\u3002\u82e5\u786e\u8bca\u598a\u5a20\u7cd6\u5c3f\u75c5\uff0c\u79ef\u6781\u63a5\u53d7\u6cbb\u7597\u5bf9\u6bcd\u5a74\u5065\u5eb7\u975e\u5e38\u91cd\u8981\u3002\u5b55\u5987\u9700\u8c03\u6574\u996e\u98df\u4e0e\u8fd0\u52a8\u4e60\u60ef\uff0c\u90e8\u4efd\u4eba\u9700\u63a5\u53d7\u80f0\u5c9b\u7d20\u6ce8\u5c04\uff0c\u63a7\u5236\u8840\u7cd6\u6c34\u5e73\uff0c\u4ee5\u51cf\u4f4e\u598a\u5a20\u7cd6\u5c3f\u75c5\u5bf9\u4e0b\u4e00\u4ee3\u7684\u957f\u671f\u98ce\u9669\uff0c\u800c\u80f0\u5c9b\u7d20\u5e76\u4e0d\u4f1a\u901a\u8fc7\u80ce\u76d8\u5f71\u54cd\u80ce\u513f\u3002\u300d <br \/><br \/>\u4e2d\u5927\u533b\u5b66\u9662\u5185\u79d1\u53ca\u836f\u7269\u6cbb\u7597\u5b66\u7cfb\u6559\u6388<strong>\u9a6c\u9752\u4e91\u6559\u6388<\/strong>\u8865\u5145\uff1a\u300c\u867d\u7136\u591a\u6570\u5987\u5973\u4ea7\u540e\u8840\u7cd6\u4f1a\u56de\u590d\u6b63\u5e38\uff0c\u4f46\u6709\u4e9b\u4f1a\u5728\u4ea7\u540e\u53d8\u6210\u7cd6\u5c3f\u75c5\u3002\u56e0\u6b64\uff0c\u66fe\u60a3\u598a\u5a20\u7cd6\u5c3f\u75c5\u7684\u5987\u5973\u5e94\u5b9a\u671f\u4f5c\u8eab\u4f53\u68c0\u67e5\uff0c\u5efa\u8bae\u6bcf\u4e00\u81f3\u4e09\u5e74\u68c0\u6d4b\u8840\u7cd6\uff0c\u5e76\u9700\u6ce8\u610f\u65e5\u5e38\u996e\u98df\u4e60\u60ef\u548c\u4f53\u91cd\u53d8\u5316\u3002\u300d<br \/><br \/>\u4e2d\u5927\u533b\u5b66\u9662\u513f\u79d1\u5b66\u7cfb\u6559\u6388<strong>\u674e\u6c11\u77bb\u6559\u6388<\/strong>\u8868\u793a\uff1a\u300c\u513f\u7ae5\u82e5\u6709\u80a5\u80d6\u95ee\u9898\uff0c\u4ed6\u4eec\u65e5\u540e\u60a3\u4e0a\u5fc3\u8840\u7ba1\u75c5\u6216\u5176\u4ed6\u6162\u6027\u75be\u75c5\u7684\u98ce\u9669\u4f1a\u8f83\u9ad8\u3002\u6211\u4eec\u5efa\u8bae\u7236\u6bcd\u57f9\u517b\u5b50\u5973\u5065\u5eb7\u7684\u751f\u6d3b\u6a21\u5f0f\uff0c\u9f13\u52b1\u4ed6\u4eec\u81ea\u5c0f\u517b\u6210\u826f\u597d\u996e\u98df\u4e60\u60ef\u3002\u5018\u6bcd\u4eb2\u66fe\u60a3\u598a\u5a20\u7cd6\u5c3f\u75c5\uff0c\u4fbf\u5e94\u52a0\u500d\u7559\u610f\uff0c\u907f\u514d\u5b50\u5973\u80a5\u80d6\u3002\u300d<br \/>&nbsp;<br \/><strong>\u4e2d\u5927\u53c2\u4e0e\u4e4b\u56fd\u9645\u7814\u7a76\u8c31\u5199\u4e16\u536b\u598a\u5a20\u7cd6\u5c3f\u65b0\u6807\u51c6<\/strong><br \/>&nbsp;<br \/>\u662f\u6b21\u7814\u7a76\u91c7\u7528\u7684\u5b55\u5987\u6570\u636e\u6765\u81ea\u5927\u578b\u56fd\u9645\u7814\u7a76\u300cHAPO\u7814\u7a76\u300d\u3002HAPO\u4e8e2001\u81f32006\u5e74\u6536\u96c6\u5e76\u5206\u6790\u6765\u81ea\u5168\u740315\u4e2a\u5730\u533a\u3001\u8d85\u8fc725,000\u540d\u5b55\u5987\u7684\u6570\u636e\uff0c\u63a2\u8ba8\u598a\u5a20\u8840\u7cd6\u6c34\u5e73\u4e4b\u5f71\u54cd\u3002\u4e2d\u5927\u533b\u5b66\u9662\u4e3a\u8d1f\u8d23\u56e2\u961f\u4e4b\u4e00\u3002HAPO\u7684\u7814\u7a76\u7ed3\u679c\u5f71\u54cd\u6df1\u8fdc\uff0c\u300c\u56fd\u9645\u7cd6\u5c3f\u75c5\u4e0e\u6000\u5b55\u7814\u7a76\u534f\u4f1a\u5171\u8bc6\u5c0f\u7ec4\u300d\u4e8e2010\u5e74\u4ee5\u6709\u5173\u7814\u7a76\u7ed3\u8bba\u4e3a\u57fa\u7840\uff0c\u91cd\u65b0\u754c\u5b9a\u598a\u5a20\u7cd6\u5c3f\u75c5\u7684\u6807\u51c6\u3002\u6709\u5173\u6807\u51c6\u5206\u522b\u4e8e2013\u5e74\u83b7\u300c\u4e16\u754c\u536b\u751f\u7ec4\u7ec7\u300d<sup>(1)<\/sup>\u53ca2016\u5e74\u83b7\u300c\u9999\u6e2f\u5987\u4ea7\u79d1\u5b66\u9662\u300d<sup>(2)<\/sup>\u91c7\u7eb3\u3002<br \/>&nbsp;<br \/><sup>(1)<\/sup> \u4e16\u536b\u6709\u5173\u598a\u5a20\u7cd6\u5c3f\u75c5\u8bca\u65ad\u6307\u5f15: <a href=\"http:\/\/www.who.int\/diabetes\/publications\/Hyperglycaemia_In_Pregnancy\/en\/\">http:\/\/www.who.int\/diabetes\/publications\/Hyperglycaemia_In_Pregnancy\/en\/<\/a>#<br \/><sup>(2)<\/sup> \u9999\u6e2f\u5987\u4ea7\u79d1\u5b66\u9662\u6709\u5173\u598a\u5a20\u7cd6\u5c3f\u75c5\u7ba1\u7406\u6307\u5f15: <a 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