妊娠期糖尿病系统化管理对妊娠结局的影响.docVIP

妊娠期糖尿病系统化管理对妊娠结局的影响 　　【摘要】 目的：探讨妊娠期糖尿病（GDM）系统化管理对妊娠结局的影响，以期优化GDM孕妇护理管理。方法：选取2014年4月-2015年8月在本院产检的392例GDM孕妇，根据孕妇接受的GDM管理模式分为试验组和对照组，试验组204例孕妇接受系统化管理，对照组188例孕妇接受传统管理。比较两组孕妇孕期体重增长、血糖控制情况及对疾病相关理论知识的认知情况和妊娠结局。结果：试验组干预后控制体重增长情况及血糖控制情况均优于对照组，比较差异均有统计学意义（P0.05）；试验组对疾病相关知识的认知明显高于对照组，比较差异有统计学意义（P0.05）；试验组孕妇剖宫产、羊水过多、产后出血、产褥感染发生率及新生儿中早产儿、新生儿窒息、巨大儿、新生儿低血糖发生率均明显低于对照组，比较差异均有统计学意义（P0.05）。结论：系统化管理可显著提高孕妇对妊娠期糖尿病相关知识的认知，使其更好地进行自我管理，从而有效改善妊娠结局，具有较高的临床推广价值。 　　【关键词】 妊娠期糖尿病； 系统化管理； 血糖控制； 母婴结局 　　Effect on Pregnancy Outcome of Systematic Management for Gestational Diabetes/BAO Jin-lian，HUANG Hong-li，XIAO Xiao-li，et al.//Medical Innovation of China，2016，13（10）：026-029 　　【Abstract】 Objective：To discuss the effect on pregnancy outcome of systematic management for gestational diabetes（GDM） in order to optimize the nursing quality for gravida with gestational diabetes.Method：Three hundred and ninety-two pregnant women with GDM in our hospital from April 2014 to August 2015 were selected and divided into experimental group（204 cases） and control group（188 cases） according to different GDM management models，pregnant women in the experimental group accepted systematic management，while the control group accepted conventional management.The weight gain during gestation period，blood glucose control，awareness of disease knowledge and pregnancy outcome were compared between the two groups.Result：After the intervention，the weight gain during gestation period，blood glucose control，awareness of disease knowledge of the experimental group were better than those of the control group，the differences were statistically significant（P0.05）；The rates of cesarean，polyhydramnios，postpartum hemorrhage and puerperal infection of the experimental group were significantly lower than those of the control group，and the rates of premature infant，neonatal asphyxia，fetal macrosomia，neonatal hypoglycemia of the experimental group were also significantly lower than those of the control group，the differences were statisti