妊娠期糖尿病系统化家庭管理对母婴临床结局的影响  

Effect of systematic family management of gestational diabetes mellitus on clinical outcomes of mothers and infants

作　　者：邓桂芳[1] 韦远欢 黄丽葵[2] 叶燕嫦 DENG Gui-fang;WEI Yuan-huan;HUANG Li-kui;YE Yan-rong(Department of Clinical Nutrition,Shenzhen Nanshan People's Hospital, Shenzhen 518052, Guangdong, CHINA;Department of Obstetrics and Gynecology ,Shenzhen Nanshan People's Hospital, Shenzhen 518052, Guangdong, CHINA)

机构地区：[1]深圳市南山区人民医院临床营养科,广东深圳518052 [2]深圳市南山区人民医院妇产科,广东深圳518052

出　　处：《海南医学》2019年第12期1538-1541,共4页Hainan Medical Journal

基　　金：广东省医学科研基金(编号:A2017159);广东省深圳市南山区科技计划项目(编号:2018077)

摘　　要：目的探讨系统化家庭管理模式对妊娠期糖尿病(GDM)患者及其婴儿临床结局的影响。方法选取在深圳市南山区人民医院2015年7月至2018年7月建卡且确诊为妊娠期糖尿病的196例患者为研究对象,采用随机数表法均分为观察组和对照组各98例。对照组给予传统的管理模式,观察组给予系统化家庭管理模式,在入组时通过面对面访谈问卷调查,收集研究对象的受教育程度、身高、孕前体质量等一般资料及实验室检查资料;通过住院系统收集GDM患者妊娠并发症、剖宫产及新生儿情况,比较两组患者的妊娠结局及新生儿不良结局的发生情况。结果观察组与对照组患者的剖宫产(15.3%vs 42.9%)、妊娠期子痫前期(0 vs 7.1%)、胎膜早破(15.3%vs 30.6%)及胎儿窘迫(4.1%vs 13.3%)的发生率比较,观察组均低于对照组,差异均有统计学意义(P<0.05);观察组与对照组患者的新生儿早产率(1.0%vs 9.2%)及巨大儿发生率(2.0%vs 10.2%)比较,观察组均低于对照组,差异均具有统计学意义(P<0.05)。结论系统化家庭管理可显著改善妊娠期糖尿病患者的妊娠结局及新生儿不良结局的发生。Objective To study the effect of systematic family management model on clinical outcomes of gestational diabetes mellitus patients and their infants. Methods Total 196 patients with gestational diabetes mellitus in Shenzhen Nanshan People’s Hospital from July 2015 to July 2018 were recruited and divided into observation group and control group based on the voluntary principle, with 98 patients in each group. The traditional management mode was applied in the control group, and the systematic family management mode was used in the observation group. The general information of the subjects was collected through face-to-face interview questionnaire survey, and clinical data were collected. Pregnancy complications of the patients, cesarean section, and neonatal clinical outcomes were collected through the hospitalization system to compare pregnant outcomes of maternal and neonatal adverse outcomes between the two groups. Results Compared with the control group, the observation group had significantly lower incidence of cesarean section(15.3% vs 42.9%), preeclampsia(0 vs 7.1%), premature rupture of membranes(15.3% vs 30.6%), and fetal distress(4.1% vs 13.3%), P<0.05. The incidence of preterm birth(1.0%% vs 9.2%) and macrosomia(2.0% vs 10.2%)was lower in the observation group than in the control group, and the difference was statistically significant(P<0.05).Conclusion Systematic family management could significantly improve the pregnancy outcomes and adverse neonatal outcomes in patients with gestational diabetes mellitus.

关 键 词：妊娠 妊娠期糖尿病 系统化家庭管理 妊娠结局 新生儿 临床结局 

分 类 号：R714.256[医药卫生—妇产科学]