规范化诊疗干预对妊娠期糖尿病孕妇血糖、体质量管理、妊娠结局及性生活质量的影响  

Effect of standardized diagnosis and treatment intervention on blood glucose,weight management,pregnancy outcome,and sexual life quality in pregnant women with gestational diabetes mellitus

作　　者：吴丽香[1] 高玲娟[1] 饶祖华[1] WU Li-Xiang;GAO Ling-Juan;RAO Zu-Hua(Deparimend of Gynecology and Obtrics,Changshan County People's Hospital,Changshan,Zhejiang 324200,China)

机构地区：[1]常山县人民医院妇产科,浙江常山324200

出　　处：《中国妇幼保健》2020年第19期3560-3563,共4页Maternal and Child Health Care of China

基　　金：浙江省医药卫生科技计划项目(2017ZH025)。

摘　　要：目的分析规范化诊疗干预对妊娠期糖尿病(GDM)孕妇血糖、体质量管理、妊娠结局及产后性生活质量影响。方法选取2016年10月-2018年10月在常山县人民医院接受治疗的GDM患者136例,随机数字表法分为对照组68例行常规饮食指导,观察组68例在对照组基础上行规范化诊疗干预;观察两组患者妊娠结局、产后血糖控制及性生活质量情况。结果观察组患者羊水过多、早产、剖宫产率及新生儿高胆红素血症、新生儿窒息、新生儿呼吸窘迫和巨大儿发生率均低于对照组患者,差异有统计学意义(P<0.05)。观察组患者产后1周、3个月糖代谢异常比例、血清FPG、餐后2hPG及Hb Alc含量均低于对照组患者,差异有统计学意义(P<0.05)。产后1周、3个月两组患者腰臀比、体质量、腰围和BMI差异无统计学意义(P>0.05);观察组患者分娩后3个月其FSFI各项评分均高于对照组患者,差异有统计学意义(P<0.05)。结论规范化诊疗干预可有效降低GDM孕妇不良妊娠结局,改善血糖含量,提升产后性生活质量。Objective To analyze the effect of standardized diagnosis and treatment intervention on blood glucose,weight management,pregnancy outcome,and sexual life quality in pregnant women with gestational diabetes mellitus(GDM).Methods A total of 136 patients with GDM treated in Changshan County People’s Hospital from October 2016 to October 2018 were selected and divided into control group and observation group,68 patients in each group.The patients in control group were given routine dietary guidance,and the patients in observation group were given standardized diagnosis and treatment intervention based on routine dietary guidance.The pregnancy outcomes,postpartum blood glucose control,and sexual life quality in the two groups were observed.Results The incidence rates of polyhydramnios,premature delivery,cesarean section,neonatal hyperbilirubinemia,neonatal asphyxia,neonatal respiratory distress,and macrosomia in observation group were statistically significantly lower than those in control group(P<0.05).The percentage of abnormal glucose metabolism,serum fasting plasma glucose(FPG),2-hour postprandial blood glucose(2 hPG),and glycosylated hemoglobin(Hb Alc)at one week and three months after delivery in observation group were statistically significantly lower than those in control group(P<0.05).There was no statistically significant difference in waist-to-hip ratio,body weight,waist circumference,and body mass index(BMI)at one week and three months after delivery between the two groups(P>0.05).At three months after delivery,FSFI scores in observation group were statistically significantly higher than those in control group(P<0.05).Conclusion Standardized diagnosis and treatment intervention can effectively reduce adverse pregnancy outcomes of GDM pregnant women,improve blood glucose and postpartum sexual life quality.

关 键 词：妊娠期糖尿病 血糖水平 体质指数 妊娠结局 规范化诊疗 

分 类 号：R714.256[医药卫生—妇产科学]