妊娠期糖尿病一日门诊干预效果观察

发布时间：2018-02-12 04:48

本文关键词： 妊娠期糖尿病一日门诊妊娠结局　出处：《中南大学学报(医学版)》2017年08期 　论文类型：期刊论文

【摘要】：目的:追踪观察妊娠期糖尿病(gestational diabetes mellitus,GDM)患者一日门诊干预效果,并探讨GDM一日门诊对GDM患者母儿结局的影响。方法:将GDM患者根据自身意愿分为参与一日门诊组和未参与一日门诊组,按照系统抽样法在参与一日门诊组中抽取200例为观察组,在未参与一日门诊组中抽取年龄与孕周匹配的200例为对照组,追踪观察两组母儿结局。结果:观察组早餐后2 h血糖、糖化血红蛋白(Hb A1c)控制水平及控制达标率均优于对照组(P0.001)。观察组孕产妇并发症发生率(46.50%)及新生儿并发症发生率(21.50%)均低于对照组(71.50%,41.50%;P0.001)。观察组妊娠期高血压疾病、胎儿窘迫、早产等孕母并发症的发生率,以及巨大儿、新生儿呼吸窘迫综合征(NRDS)、新生儿低体重、新生儿肺炎等新生儿并发症发生率及新生儿入住NICU率较对照组明显降低(P0.05)。结论:GDM一日门诊能够有效控制血糖,降低孕母及新生儿并发症,值得推广。
[Abstract]:Objective: to observe the effect of outpatient intervention in gestational diabetes Mellitusus GDM (GDM) patients in 1st. Methods: the patients with GDM were divided into two groups according to their own wishes: to participate in 1st outpatient group and did not take part in 1st outpatient group. According to systematic sampling method, 200 cases were selected as observation group in 1st outpatient group. In the 1st outpatient group, 200 cases of age matched with gestational week were selected as control group, and the maternal and fetal outcomes of the two groups were followed up. Results: blood glucose 2 hours after breakfast was observed in the observation group. The control level and the control rate of HbA1cwere higher than those of the control group (P 0.001). The incidence of maternal complications and neonatal complications in the observation group was higher than that in the control group (P 0.001) and the incidence of neonatal complications was lower than that in the control group (P 0.001). The incidence of maternal complications such as premature delivery, macrosomia, neonatal respiratory distress syndrome (NRDS), low birth weight, The incidence of neonatal complications such as neonatal pneumonia and the rate of neonatal NICU in the control group were significantly lower than those in the control group. Conclusion in 1st, the outpatient service of NICU can effectively control blood glucose and reduce the complications of pregnancy and newborn, which is worth popularizing.
【作者单位】：湖南省妇幼保健院服务中心;中南大学湘雅公共卫生学院儿少卫生与妇幼保健系;
【分类号】：R473.71

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