微信咨询在妊娠期糖尿病管理中的应用探索  

Exploring application of WeChat for gestational diabetes mellitus management

作　　者：葛月萍[1] 闫淑萍[1] 王淑靖[1] 赵妍娟[2] 丁超君[1] 

机构地区：[1]河南省人民医院妇产科,郑州450003 [2]河南省人民医院营养科,郑州450003

出　　处：《中国实用护理杂志》2017年第36期2819-2822,共4页Chinese Journal of Practical Nursing

基　　金：河南省2016年科技发展计划（162102310285）

摘　　要：目的 研究妊娠期糖尿病（GDM）预防控制管理在互联网平台进行微信咨询的应用效果.方法 选择定期做产前检查的孕妇,在孕24～28周进行葡萄糖耐量试验诊断为GDM的孕妇作为研究对象,观察组为2016年全年产前检查中符合研究对象条件的308人,除进行门诊常规指导外并加入专用微信群进行全方位的健康管理咨询,对照组为2015年全年产前检查中符合研究对象条件的278人,根据就诊时的情况进行门诊常规指导.2组观察指标包括GDM孕妇的空腹血糖和餐后2h血糖控制、整个孕期体质量增长率、剖宫产率、巨大儿出生率、新生儿转诊率等.结果 观察组空腹血糖和餐后2 h血糖控制达标率都优于对照组,差异有统计学意义（t=2.01～3.11,均P〈0.05）;根据孕前体质量指数不同,观察组的体质量增长达标情况优于对照组,差异有统计学意义（t=2.12～3.76,均P〈0.05）;观察组的剖宫产率、巨大儿出生率、新生儿转诊率分别为21.10％（65/308）、4.87％（15/308）、7.14％（22/308）,均低于对照组的28.78％（80/278）、10.07％（28/278）、12.23％（34/278）,差异有统计学意义（U=2.10～2.42,均P〈0.05）.结论 利用互联网平台进行微信咨询在GDM预防控制管理方面具有显著的应用效果,能有效改善母婴结局,在保障母婴健康方面具有重要意义.Objective To researching the effect of gestational diabetes mellitus （GDM） prevention and control management by WeChat consultation on the Internet platform. Methods There were 586 pregnant women who performed prenatal care regularly and accepted glucose tolerance test for GDM at 24 to 28 weeks in our hospital during 2015 and 2016 as research objects. Determination of the observation group：in 2016, the 308 people who match the condition of the study during annual prenatal examination in line, in addition to routine guidance outside the clinic and joined the division to establish a dedicated WeChat group for a comprehensive health management consulting. Determination of the control group：in 2015, the 278 people who match the condition of the study during annual prenatal examination in line were treated as control groups. The two groups of observation indexes included the fasting blood glucose and two-hour postprandial blood glucose control in GDM pregnant women, the weight growth rate of the whole pregnancy, cesarean section rate, birth rate of newborns, neonatal referral rate and so on. Results The rate of fasting blood glucose and two-hour postprandial blood glucose control in the observation group was significantly better than that in the control group （t=2.01-3.11, all P〈0.05）. According to the pre-pregnancy physical index, the weight growth of the observation group was significantly better than the control group （t=2.12-3.76, all P〈0.05）.The cesarean section rate, birth rate and neonatal referral rate were 21.10%（65/308）, 4.87%（15/308）, 7.14%（22/308）in the observation group , and 28.78%（80/278）, 10.07%（28/278）, 12.23%（34/278）in the control group, there were significant differences （U = 2.10-2.42, all P〈0.05）. Conclusions Gestational diabetes prevention and control management in the Internet platform for WeChat consultation application effect is remarkable, which can effectively improve the maternal and child outcomes. In the protection of maternal and child he

关 键 词：微信咨询 妊娠期糖尿病 管理 

分 类 号：R473.71[医药卫生—护理学]