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分析了81例妊娠糖尿病患者低镁原因和常见的影响因素。妊娠糖尿病组血清镁明显低于正常妊娠组,低镁的程度与病变的类型、孕期、血糖水平及是否合并微血管病有关。妊娠胰岛素依赖型糖尿病组血清镁明显低于胰岛素非依赖型糖尿病组。孕期越长,血糖水平越高,血清镁水平越低。合并妊高征者血压越高,其血糖水平越高,血清镁水平越低。提出补镁以小剂量、间断、长期静脉补给为宜。
Analysis of 81 cases of gestational diabetes low magnesium causes and common factors. The level of serum magnesium in gestational diabetes mellitus was significantly lower than that in normal pregnancy group. The degree of hypomagnese was related to the type of disease, gestational age, blood glucose level and whether it was associated with microangiopathy. Serum magnesium in gestational insulin-dependent diabetes mellitus was significantly lower than that in insulin-independent diabetes mellitus. The longer the pregnancy, the higher the blood sugar level, the lower the serum magnesium level. The higher the blood pressure in patients with PIH, the higher the blood glucose level, the lower the serum magnesium level. Magnesium supplement proposed to small doses, intermittent, long-term intravenous supply is appropriate.