专科教育门诊对妊娠期糖尿病孕妇的影响  

Effect of specialist education outpatient on pregnant women with gestational diabetes mellitus

作　　者：张金云[1] 温穗文[1] 黄水芳 蔡莉花 潘启豪[1] 孙晶[1] 刘娟娟[1] 

机构地区：[1]广州医科大学第六临床学院,广东清远511515

出　　处：《吉林医学》2017年第4期778-780,共3页Jilin Medical Journal

摘　　要：目的:探讨妊娠期糖尿病专科教育门诊管理模式对孕妇及围产儿的影响。方法:回顾性分析2015年1月至2016年12月在广州医科大学第六临床学院于孕24~28周确诊妊娠期糖尿病的孕妇的临床资料,根据患者的意愿将其分为A组(自愿接受妊娠期糖尿病专科教育门诊模式,n=132例)和B组(拒绝接受GDM专科教育门诊模式,n=66例),对比2组患者孕期糖代谢、孕妇和新生儿并发症发生率。结果:A组巨大儿、早产、子痫前期、羊水过多、新生儿窒息发生率低于B组,P值<0.05;A组空腹血糖、餐后2 h血糖及糖化血红蛋白水平明显低于B组,P值<0.05。结论:妊娠期糖尿病患者采用专科教育门诊管理模式进行治疗,能有效改善孕妇空腹及餐后2 h血糖水平,降低孕妇和新生儿并发症发生率,是值得在临床推广使用的管理模式。Objective To explore the effect of outpatient management mode of specialist education in gestational diabetes mellitus on pregnant women and perinatal.Method From January 2015 to December 2016,patients（ Pregnant women diagnosed with gestational diabetes at 24 to 28 weeks gestation） in our hospital were divided into group a（ voluntary acceptance GDM outpatient model,n = 132） and group b（ refused to receive GDM specialist education outpatient model,n = 66）,the glucose metabolism,pregnant women and neonatal complications.Results The incidence rate of fetal macrosomia,neonatal asphyxia,prematuredelivery,preeclampsia,oligohydramnios in the group a were significantly lower than group b（ P〈0.05）,the fasting blood glucose,postrandial 2 h blood glucose and glycosylated hemoglobin level in the group a were significantly lower than those in the group b（ P〈0.05）.Conclusion The use of specialist education outpatient management mode in gestational diabetes can effectively improve the fasting and 2-hour postprandial blood glucose level of pregnant women,reduce the incidence of complications of pregnant women and newborn,it is worth the clinical application of the management model.

关 键 词：GDM 专科教育门诊管理模式 糖代谢水平 并发症 

分 类 号：R473.71[医药卫生—护理学]