福州市妊娠期糖尿病子代婴儿期健康管理模式的应用研究  

The application of the health management model for infants of gestational diabetes mellitus mothers in Fuzhou

作　　者：郭翀[1] 陈楚安 赵珊 陈春梅 葛品[1] 刘桂华[1] GUO Chong;CHEN Chu An;ZHAO Shan;CHEN Chun Mei;GE Pin;LIU Gui Hua(Fujian Maternal and Child Health Care Hospital,Affiliated Hospital of Fujian Medical University,350005,China)

机构地区：[1]福建省妇幼保健院,福建医科大学附属医院,福州350005

出　　处：《中国妇幼卫生杂志》2020年第4期25-29,共5页Chinese Journal of Women and Children Health

基　　金：中国疾病预防控制中心妇幼保健中心合生元母婴营养与健康研究项目(2017FYH009);福建省卫生健康青年科研课(2019-2-13);福建医科大学起航基金项目(2018QH1189);福建省妇幼保健院科研基金面上项目(17-19)。

摘　　要：目的研究并建立妊娠期糖尿病(GDM)母亲子代婴儿期健康管理模式,以便及早发现异常并给予纠正,促进GDM母亲婴儿健康成长。方法本研究采用横断面研究设计方法,选取100例GDM子代及其主要监护人为主要研究对象,并将其分为实验组和对照组,实验组采用GDM母亲子代儿童期体重及认知管理模式,对照组仅接受常规门诊保健,利用实地测量、问卷调查方法和血液指标评测研究方案的有效性。结果干预后试验组儿童身长、体重、头围、体质指数和血清瘦素水平与对照组差异均无统计学意义(P>0.05)。干预后试验组儿童总发育商及各能区发育商均高于对照组,差异具有统计学意义(P<0.05)。干预后两组母亲除困难儿童维度得分组间差异无统计学意义(P>0.05),其余领域得分差异均存在统计学意义(P<0.05)。结论GCM母亲子代婴儿期的健康管理模式,可以更好的监测体格生长和智能发育,并及时干预做出应对,降低GDM对子代的不良影响。Objective To investigate and establish a health management model for infants of gestational diabetes mellitus(GDM)mothers,in order to promote the early detection and correction of abnormalities,and to ensure the health of infants of GDM mothers.Method A total of 100 GDM offspring and their main guardians were selected as the subjects in a cross-sectional study,and were divided into the experimental group and the control group.A health management model of weight and cognition was applied to the experimental group while the control group only received routine health care.The effectiveness of the health management model was evaluated by field measurement,questionnaires and blood indicators.Results There were no significant differences in length,weight,head circumference,body mass index(BMI)and the level of serum leptin between the experimental group and the control group(P>0.05).The development quotient(DQ)of all energy areas and the total DQ of the experimental group were significantly higher than those of the control group(P<0.05).There was no significant difference in the score of children with difficulties between two groups(P>0.05),but the significant differences were shown in other dimensions(P<0.05).Conclusion The health management model for infants of GDM mothers can better monitor physical growth and mental development of GDM infants,and correct the poor growth and development in time,which can reduce adverse effects of GDM on offspring.

关 键 词：妊娠期糖尿病 婴儿 管理模式 

分 类 号：R714.256[医药卫生—妇产科学]