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目的探讨影响妊娠期糖代谢异常孕妇产后血糖的高危因素,以加强糖尿病孕妇产后的教育,提高产后血糖检查的随访率。方法160例产前确诊为GIGT和GDM的孕妇,通过宣教和书面嘱托,于分娩后6～8周回院行糖耐量试验,统计随访率,比较随访组与失访组的年龄、学历、家庭收入、分娩方式等指标,分析产后失访的原因。结果160例中120例进行血糖检查,随访率为75%,失访率为25%。随访组的年龄、学历、家族史、剖宫产率、家庭月收入明显高于失访组。随访组OGTT2h血糖大于11.1mmol/L者、新生儿低血糖发生率明显低于失访组。结论医护人员在规范宣教GDM产后随访过程中,应对年轻的、本科以下学历的、无糖尿病家族史的GIGT和GDM孕妇加强产后糖代谢检查的宣教工作。
Objective To investigate the risk factors of postpartum blood glucose in pregnant women with abnormal glucose metabolism during pregnancy to enhance the postpartum education of diabetic pregnant women and improve the follow-up rate of postpartum blood glucose test. Methods 160 pregnant women with prenatal diagnosis of GIGT and GDM were enrolled in this study. The postprandial glucose tolerance test was performed 6-8 weeks after delivery and the follow-up rate was calculated. The age, education background and family income of the follow-up group and the lost group were compared , Mode of delivery and other indicators, analysis of the causes of postpartum lost. Results Of the 160 cases, 120 cases underwent blood sugar examination with a follow-up rate of 75% and a follow-up rate of 25%. The follow-up group’s age, education, family history, cesarean section rate, family monthly income was significantly higher than the lost group. Follow-up group OGTT2h blood glucose greater than 11.1mmol / L, the incidence of neonatal hypoglycemia was significantly lower than the lost group. Conclusion During the follow-up of standardized post-delivery GDM, health care workers should strengthen the missionary work of checking postpartum glucose metabolism in pregnant women with GGT and GDM without a family history of diabetes, young and undergraduates.