多学科门诊联合互联网+医疗对妊娠期糖尿病干预评价  

Intervention Evaluation of Multi-Disciplinary Treatment Combined with Internet + Medical Care for Gestational Diabetes

作　　者：李英[1] 郭艳英[2] 钟新丽 LI Ying;GUO Yan-ying;ZHONG Xin-li(Xinjiang Medical University,Xinjiang Urumqi 830054,China/Chengdu Shuangliu First People's Hospital,Sichuan Chengdu 610200,China;People's Hospital of Xinjiang Uygur Autonomous Region,Xinjiang Urumqi 830001,China;Chengdu Shuangliu First People's Hospital,Sichuan Chengdu 610200,China)

机构地区：[1]新疆医科大学,新疆乌鲁木齐830054/成都市双流区第一人民医院内分泌科,四川成都610200 [2]新疆维吾尔自治区人民医院内分泌科,新疆乌鲁木齐830001 [3]成都市双流区第一人民医院妇产科,四川成都610200

出　　处：《实用妇科内分泌电子杂志》2020年第29期1-2,40,共3页Electronic Journal of Practical Gynecological Endocrinology

基　　金：成都市医学科研课题(2017046)

摘　　要：目的探讨多学科联合门诊联合互联网+医疗对妊娠期糖尿病(GDM)妊娠结局的影响。方法选取2019年6月至2020年6月在我院产科门诊确诊的GDM患者142例,按照自愿原则,分为对照组50例,进行常规健康宣教;干预组92例,在常规宣教的基础上,参加妊娠期糖尿病多学科联合门诊(MDT),并提供远程医疗服务。对比两组妊娠不良结局。结果经MDT及远程互联网医疗,干预组餐后2小时平均血糖、分娩前糖化血红蛋白、孕期体重增长、妊高症、剖宫产均低于对照组(P<0.05),干预组接受胰岛素治疗患者高于对照组(P<0.05);两组间羊水异常、产后出血无显著差异(P>0.05)。干预组新生儿出生时体重、早产儿均低于对照组(P<0.05),两组巨大儿、新生儿低血糖、胎儿窘迫无显著差异(P>0.05)。结论对妊娠期糖尿病孕妇实施多学科门诊联合互联网+医疗干预可有效降低孕妇的血糖水平,改善妊娠结局,值得临床推广。Objective To explore the effect of multi-disciplinary treatment(MDT)and Internet+medical on pregnancy outcome of gestational diabetes(GDM).Methods A total of 142 gestational diabetes mellitus patients admitted to the obstetrics department of our hospital were selected as the research object from June 2019 to June 2020.By the Voluntary Principles,they were divided into two groups,50 cases in the control group and 92 cases in the intervention group,The control group was treated by routine obstetric clinic,while on the basis of routine education,the intervention group participated in the MDT and provided internet+medical care,The adverse outcomes of pregnancy were compared between the two groups.Results After MDT and Telemedicine service,The average postprandial blood glucose at 2 hours(after 2 weeks of diet control),glycosylated hemoglobin before delivery,Weight gain during pregnancy,pregnancy induced hypertension and cesarean section in the intervention group were lower than those in the control group(P<0.05).The patients receiving insulin in the intervention group were more than in the control group(P<0.05);There was no difference in abnormal amnion and postpartum hemorrhage between the two groups(P>0.05).the neonatal birth weight and premature infants of the intervention group were lower than the control group,statistically significant(P<0.05),There were no significant differences in macrosomia,neonatal hypoglycemia and fetal distress between the two groups(P>0.05).Conclusion The implementation of MDT combined with Internet+medical intervention for gestational diabetes can effectively reduce the blood glucose level of pregnant women and improve the pregnancy outcome,which is worthy of clinical promotion.

关 键 词：妊娠期糖尿病 多学科门诊 互联网+医疗 干预 

分 类 号：R473.71[医药卫生—护理学]