| 倪美兰，张明静，张雪芹.一日门诊干预对妊娠期糖尿病孕产妇血糖和母婴结局的影响[J].中国医药科学,2023,(20):99-103 基金项目:福建省厦门市医疗卫生重点项目（3502Z20191102） |
| 一日门诊干预对妊娠期糖尿病孕产妇血糖和母婴结局的影响 |
| Effect of one-day outpatient intervention on blood glucose of pregnant women with gestational diabetes mellitus and maternal-infant outcome |
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| DOI： |
| 中文关键词: 一日门诊；妊娠期糖尿病；妊娠结局；血糖控制 |
| 英文关键词:One-day outpatient; Gestational diabetes mellitus; Pregnancy outcome; Blood glucose control |
| 作者 | 单位 | | 倪美兰，张明静，张雪芹 | 厦门大学附属妇女儿童医院产科，福建厦门 361001 |
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| 中文摘要: |
| [摘要] 目的 探究妊娠期糖尿病一日门诊的应用效果。 方法 本研究为临床病例回顾性研究，选取2020年3—12月在厦门大学附属妇女儿童医院接受产前检查并分娩的160例妊娠期糖尿病孕妇，研究人员根据孕妇实际接受孕期指导方案将孕妇分为观察组和对照组，每组各80例。对照组实施就诊时的宣教、电话及门诊随访等进行管理，观察组实施妊娠期糖尿病一日门诊管理模式，比较两组妊娠晚期空腹血糖、餐后2 h血糖、孕期体重增长、妊娠并发症、不良分娩结局和孕妇依从性以及自我管理能力。 结果 观察组的妊娠晚期空腹血糖和餐后2 h血糖达标率均高于对照组（82.50% vs. 57.50%、75.00% vs. 52.50%），差异有统计学意义（P < 0.05）。观察组的孕期体重增长达标率高于对照组（75.00% vs. 55.00%），差异有统计学意义（P < 0.05）。观察组的羊水异常和患一种以上并发症发生率均低于对照组（2.50% vs. 17.50%、10.00% vs. 40.00%），差异有统计学意义（P < 0.05）。观察组的GDM基础健康知识、饮食疗法、运动管理、血糖监测、合理用药的得分均高于对照组，差异有统计学意义（P < 0.05）。 结论 通过开展妊娠期糖尿病一日门诊管理模式，可有效地控制血糖水平、孕期体重增长，优化妊娠期糖尿病孕妇的妊娠结局，并具有增加孕妇依从性、提高孕期营养与运动知识知晓率的优势，是节约医疗资源的一种新型有效的群体管理模式，临床应用价值高。 |
| 英文摘要: |
| [Abstract] Objective To explore the application effect of one-day outpatient service for gestational diabetes mellitus (GDM). Methods In this retrospective study of clinical cases, 160 pregnant women with gestational diabetes mellitus who received antenatal examination and delivery in the Maternal and Child Health Hospital from March to December 2020 were selected and divided into two groups (the control group and the observation group) according to the actual guidance they received during pregnancy, with 80 patients in each group. The control group was administrated with propaganda and education, telephone call and outpatient follow-up, while the observation group was administrated with one-day outpatient management of gestational diabetes mellitus. The fasting blood glucose and 2 h postprandial blood glucose in late pregnancy, body weight gain during pregnancy, complications of pregnancy, adverse delivery outcomes, pregnant women’s compliance and self-management ability were compared between the two groups. Results The compliance rates of fasting blood glucose and 2 h postprandial blood glucose in late pregnancy in the observation group were higher than those in the control group (82.50% vs. 57.50%, 75.00% vs. 52.50%), with statistically significant differences (P < 0.05). The compliance rate of body weight gain during pregnancy in the observation group was higher than that in the control group (75.00% vs. 55.00%), with statistically significant difference (P < 0.05). The incidences of abnormal amniotic fluid and≥1 complication in mother in the observation group were lower than those in the control group (2.50% vs. 17.50%, 10.00% vs. 40.00%), with statistically significant differences (P < 0.05). The scores of basic health knowledge, diet therapy, exercise management, blood glucose monitoring, and rational drug use of GDM in the observation group were higher than those in the control group, with statistically significant differences (P < 0.05). Conclusion The one-day outpatient management mode of gestational diabetes mellitus can effectively control blood glucose level and body weight gain during pregnancy, optimize the pregnancy outcome of pregnant women with gestational diabetes mellitus, and has the advantages of increasing pregnant women’s compliance and improving the awareness of nutrition and exercise knowledge during pregnancy. Therefore, it is a new effective group management mode that saves medical resources, and has high clinical application value. |
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