论文部分内容阅读
目的:探讨妊娠期糖尿病(GDM)孕期系统化管理对母婴妊娠结局的影响。方法:选取65例在妇保科实施孕期系统化管理的GDM孕妇作为管理组,同时随机选取同期确诊为GDM但未接受孕期系统化管理的65例孕妇作为对照组,比较两组孕妇的GDM知识知晓率、相关行为率及并发症发生率。结果:管理组的GDM相关知识知晓率、遵医行为率、饮食控制率、定期血糖监测率等均明显高于对照组(P<0.01);管理组的妊娠期高血压、羊水过多、产后出血、产褥感染等并发症发生率均明显低于对照组(P<0.05);管理组的早产、巨大儿、新生儿窒息、新生儿低血糖等围产儿并发症发生率均明显低于对照组(P<0.05)。结论:GDM孕妇实施孕期系统化管理,可提高GDM知识和遵医行为,加强定期血糖监测,降低母婴并发症发生率,从而改善母婴妊娠结局。
Objective: To investigate the effect of systematic management of gestational diabetes mellitus (GDM) during pregnancy on maternal and fetal pregnancy outcomes. Methods: Sixty-five pregnant women with GDM under systematic management during pregnancy were selected as the management group. Sixty-five pregnant women who were diagnosed with GDM at the same period and who did not receive systematic management during pregnancy were selected as the control group. The GDM knowledge of the two groups was compared Rates, related behavioral rates and complication rates. Results: The awareness rate of GDM-related knowledge, compliance rate, diet control rate and regular blood glucose monitoring rate in the management group were significantly higher than those in the control group (P <0.01). In the management group, gestational hypertension, polyhydramnios, postpartum Bleeding, puerperal infection and other complications were significantly lower than the control group (P <0.05); management group of preterm birth, macrosomia, neonatal asphyxia, neonatal hypoglycemia and other perinatal complications were significantly lower than the control Group (P <0.05). Conclusion: GDM pregnant women to implement systematic management during pregnancy can improve GDM knowledge and compliance behavior, strengthen regular blood glucose monitoring, reduce the incidence of maternal and infant complications, thereby improving the maternal and fetal pregnancy outcomes.