基于微信平台的健教对妊娠期糖尿病新生儿体重影响因素的研究

发布时间：2018-06-08 16:33

本文选题：妊娠期糖尿病 + 微信平台　；参考：《现代妇产科进展》2017年10期

【摘要】：目的:利用微信平台对妊娠期糖尿病(GDM)孕妇进行医学健康教育,密切监测其血糖控制情况,分析影响新生儿出生体重的危险因素。方法:建立GDM微信管理平台,选取2016年3月到2016年8月在暨南大学附属第一医院妇产科规律产检并住院分娩的107例GDM孕妇,按知情同意原则分为微信平台组(57例)和常规干预组(50例)。微信平台组:实时营养干预,记录每日各时点血糖值。常规干预组:按妊娠期糖尿病处理规范给予常规门诊产检及健康教育指导。微信平台组、常规干预组分别记录了10406次和231次血糖值。分析两组干预后记录的血糖值、年龄、孕产次、OGTT三时点血糖值、孕期血糖监测次数、分娩孕龄、孕期是否出现妊娠期高血压疾病、尿酮体阳性和胎膜早破及分娩方式与胎儿体重之间关系。对以上单因素分析中有统计学意义的指标进行多因素分析。结果:微信平台组控制后空腹血糖和餐后2h血糖值明显低于常规干预组,血糖监测次数明显多于常规干预组,差异均有统计学意义(P0.05)。两组控制后餐后1h血糖值差异无统计学意义(P0.05)。单因素分析结果显示,分娩孕龄、妊娠期高血压疾病、OGTT FBG、控制后FBG和控制后1h PBG与新生儿出生体重有关(P0.05);而血糖监测次数、OGTT 1h、OGTT 2h和餐后2h血糖值与胎儿体重无关(P0.05)。多因素分析结果显示,控制后空腹血糖、分娩孕周和OGTT空腹血糖为新生儿出生体重的高危影响因素(P0.05)。结论:对于控制饮食后FPG和OGTT FPG高的孕妇,临床上应加强对胎儿体重的监控。增加血糖监测次数尚不能降低餐后1h血糖,胎儿体重不受血糖监测次数影响。
[Abstract]:Objective: using WeChat platform to carry out medical health education for pregnant women with gestational diabetes (GDM), closely monitor the control of blood sugar and analyze the risk factors that affect the birth weight of the newborn. Methods: establish the GDM WeChat management platform and select the law of Obstetrics and gynecology in the First Affiliated Hospital of Jinan University from March 2016 to August 2016. 107 pregnant women with GDM were divided into WeChat platform group (57 cases) and routine intervention group (50 cases) according to the principle of informed consent. The WeChat platform group: real-time nutrition intervention, recording the daily blood sugar values. Routine intervention group: routine outpatient examination and health education guidance according to the regulation of gestational diabetes treatment. The WeChat platform group, the routine intervention group, respectively The blood glucose values of 10406 and 231 times were recorded. The blood sugar values, age, pregnancy and birth times, OGTT three time point blood glucose, pregnancy blood glucose monitoring times, pregnancy gestational age, pregnancy induced hypertension, urinary ketone body positive and premature rupture of fetal membrane and the relationship between delivery mode and fetal weight were analyzed in the two groups. Results: the scores of fasting blood glucose and postprandial 2H blood glucose after the control of WeChat platform group were significantly lower than those in the routine intervention group. The number of blood glucose monitoring times was significantly more than that of the conventional intervention group. The difference was statistically significant (P0.05). There was no significant difference between the two groups after the control of after meal (P0.05). The single factor analysis was not significant (P0.05). The results showed that childbirth gestational age, pregnancy induced hypertension, OGTT FBG, FBG after control and 1H PBG after control were associated with neonatal birth weight (P0.05), while the frequency of blood glucose monitoring, OGTT 1H, OGTT 2H and postprandial 2H blood glucose were not related to fetal weight (P0.05). The risk factors for the birth weight of the newborn (P0.05). Conclusion: for pregnant women with high FPG and OGTT FPG after diet, the monitoring of fetal weight should be strengthened. The increase of blood glucose monitoring times can not reduce 1H blood glucose after meal, and the fetal weight is not affected by the number of blood glucose monitoring.
【作者单位】：暨南大学附属第一医院妇产科;
【分类号】：R473.71

【相似文献】