【妇产科】《国际妇产科联盟关于妊娠期糖尿病的建议》摘译（四）：妊娠并糖尿病的管理.pdf

·449·中华围产医学杂志 2016?6月第19?0X6期 Chin J Perinat Med, Jun. 2016, Vol. 19, No. 6 289-298. DOI:10.1080/ 14767050500329775. [25] Pagani G, Thilaganathan B, Prefumo F. Neurodevelopmental outcome in isolated mild fetal ventriculomegaly: systematic review and meta- analysis[J]. Ultrasound Obstet Gynecol, 2014, 44(3):254- 260. DOI:10.1002/uog.13364. [26] Griffiths PD, Reeves MJ, Morris JE, et al. A prospective study of fetuses with isolated ventriculomegaly investigated by antenatal sonography and in utero MR imaging[J]. AJNR Am J Neuroradiol, 2010, 31(1):106- 11 1. DOI:10.3174/ajnr.A1767. [27] Breeze AC, Alexander PM, Murdoch EM, et al. Obstetric and neonatal outcomes in severe fetal ventriculomegaly[J]. Prenat Diagn, 2007, 27(2):124- 129. DOI:10.1002/pd.1624. [28] Kinzler WL, Smulian JC, McLean DA, et al. Outcome of prenatally diagnosed mild unilateral cerebral ventriculomegaly[J]. J Ultrasound Med, 2001, 20(3):257- 262. [29] Leitner Y, Stolar O, Rotstein M, et al. The neurocognitive outcome of mild isolated fetal ventriculomegaly verified by prenatal magnetic resonance imaging[J]. Am J Obstet Gynecol, 2009, 201(2): 215.e1- 215.e6. DOI:10.1016/j.ajog.2009.04.031. [30] Atad-Rapoport M, Schweiger A, Lev D, et al. Neuropsychological follow -up at school age of children with asymmetric ventricles or unilateral ventriculomegaly identified in utero[J]. BJOG, 2015, 122(7):932- 938.DOI:10.11 11/1471- 0528. 12976. [31] 常清贤,熊丽,裘毓雯,等.产前胎儿侧脑室扩张的临床意义 及预后[J].中华围 产医学杂志 , 2013,16(3):142- 147. DOI: 10. 3760/cma.j.issn.1007- 9408.2013.03.003. （收稿日期：2015- 10-13 ） （本文编辑：刘菲）·国外医学动态· 妊娠合并糖尿病的治疗目标是通过改善妊娠期高血 糖状态使母儿结局接近正常人群水平。国际妇产科联盟 （International Federation of Gynecology and Obstetrics， FIGO ）强调妊娠合并糖尿病的治疗与管理应根据各地医疗 资源及水平因地制宜。 一、产前保健 目前尚无有关糖尿病妊娠产前保健方面的证据， FIGO 的建议来自美国妇产科医师学院的推荐。 1.妊娠期