产后随访干预对妊娠期糖尿病血糖控制及认知情况的影响.docVIP

产后随访干预对妊娠期糖尿病血糖控制及认知情况的影响 　　[摘要] 目的 观察探讨产后随访干预对妊娠期糖尿病血糖的控制及认知情况的影响。 方法 随机选取该院在2015年1月―2016年12月收治的420例妊娠期糖尿病患者作为观察对象，采取随机分组方式分为观察组和对照组，每组各210例患者，对照组未进行产后随访干预，观察组采取产后随访干预控制血糖和加强对糖尿病的认知程度，观察比较两组患者在产后3、6和12个月3个时段的空腹血糖、餐后2 h血糖、糖化血红蛋白、脂蛋白的数据情况和以及患者对糖尿病的认知情况。 结果 观察组在产后3～12个月期间空腹和餐后血糖、糖化血红蛋白、脂蛋白数据均优于对照组，差异有统计学意义（P0.05）。经调查问卷显示观察组的疾病认知情况也同样优于对照组，差异有统计学意义（P0.05）。此次研究在产后随记干预中有12例失访，失访率为5.7%。 结论 产后对妊娠期糖尿病患者进行随访干预可以有效改善其血糖控制情况，提高患者对疾病的认知程度，值得临床应用加以推广。 　　[关键词] 妊娠期糖尿病；产后随访干预；血糖控制；认知情况 　　[中图分类号] R47 [文献标识码] A [文章编号] 1672-4062（2017）09（a）-0013-03 　　Effect of Follow-up Intervention after Delivery on the Blood Glucose Control and Cognitive Situation of Gestational Diabetes 　　NI Mei-lan， WANG Jin-lian 　　Xiamen Maternal and Child Healthcare Hospital， Xiamen， Fujian Province， 361000 China 　　[Abstract] Objective To observe the effect of follow-up intervention after delivery on the blood glucose control and cognitive situation of gestational diabetes. Methods 420 cases of patients with gestational diabetes admitted and treated in our hospital from January 2015 to December 2016 were randomly selected and divided into two groups with 210 cases in each， the control group did not adopt the follow-up intervention after delivery， while the observation group adopted the follow-up intervention to control the blood glucose and enhance the cognitive degree to diabetes， and the fasting blood glucose， postprandial 2h blood glucose， glycosylated hemoglobin， lipoprotein levels in 3 months， 6 months and 12 months after delivery of the two groups were observed. Results The fasting blood glucose and postprandial blood glucose， glycosylated hemoglobin， lipoprotein levels in the observation group were better than those in the control group， and the differences were statistically significant（P0.05）.In this study， 12 cases were lost in the postpartum follow-up intervention， and the loss rate was 5.7%. Conclusion The follow-up intervention in patients with gestational diabetes after delivery can effectiv