摘要
目的:探讨综合健康管理模式对株洲地区妊娠期糖尿病孕妇的影响。方法:选取2019年9月―2020年6月在我院就诊的年龄在25~35岁,通过孕24―28周口服葡萄糖耐量试验(OGTT)试验确诊妊娠期糖尿病的孕妇100名,随机分为实验组(50人,自愿接受综合健康管理)和对照组(50人,自愿接受一般护理干预),观察两组患者自我管理情况及妊娠结局。结果:实验组患者糖尿病自我管理效能评分明显高于对照组,其中饮食控制、规律运动和血糖监测评分高于对照组,足部护理、血糖处理、遵医用药无明显差异;实验组患者体质量控制合格率高于对照组,使用胰岛素人数少于对照组,实验组患者餐后2 h血糖明显低于对照组。两组患者糖化血红蛋白和空腹血糖比较差异无统计学意义。实验组患者妊娠期高血压、剖宫产、产后出血、新生儿窒息、新生儿低血糖、巨大儿发生率均低于对照组。结论:综合健康管理模式有利于提高妊娠期糖尿病孕妇的依从性,减少剖宫产、新生儿低血糖、窒息及巨大儿的发生,改善妊娠结局,有较好的临床推广价值。
Objective To investigate the effects of comprehensive health management on delivery outcome of pregnant women with Gestational diabetes mellitus in Zhuzhou area.Methods A total of 100 pregnant women who were diagnosed as gestational diabetes mellitus by 75g oral glucose tolerance test during week 24-28 of gestation were enrolled in the study.There were 50 cases in Experimental group who voluntarily undergo integrated health management and 50 cases in control group who except voluntary general nursing intervention.The self-management and pregnancy outcome of the two groups were observed.Results The self-management efficacy scores of the experimental group were significantly higher than those of the control group,and the scores of diet control,regular exercise and blood glucose monitoring were higher than those of the control group,There was no significant difference in foot care,blood glucose treatment and compliance with medical drugs.The qualified rate of body quality control in the experimental group was higher than that in the control group,the number of people using insulin was less than that in the control group,and the postprandial blood glucose in the experimental group was lower than that in the control group,the difference was statistically significant.There was no significant difference in HBA1c and fasting blood glucose between the two groups.The incidence of pregnancy-induced hypertension,cesarean section,postpartum hemorrhage,neonatal asphyxia,neonatal hypoglycemia and macrosomia in the experimental group was lower than that in the control group,and the difference was statistically significant.Conclusion The comprehensive health management model is beneficial to improve the compliance of pregnant women with gestational diabetes mellitus,effectively reduce the occurrence of cesarean section,neonatal hypoglycemia,asphyxia and huge fever,improve the pregnancy outcome,and has good clinical promotion value.
作者
周颜
曾范华
张婵
许丽丽
李飘飘
柒铭铭
ZHOU Yan;ZENG-FAN Hua;ZHANG Chan;XU Lili;LI Piaopiao;QI Mingming(Xiangya Hospital Zhuzhou Central South University,Zhuzhou 412000,China)
出处
《湖南师范大学学报（医学版）》
2023年第5期161-164,共4页
Journal of Hunan Normal University(Medical Sciences)
基金
湖南省自然科学基金省市联合基金(S2020JJSSLH0077)
关键词
妊娠期糖尿病
医学营养治疗
综合健康管理
妊娠结局
gestational diabetes mellitus
medical nutrition therapy
integrated health management
pregnancy outcome
作者简介
通信作者:柒铭铭,E-mail:14663376@qq.com
