加强产前随访和围产期管理对妊娠期糖尿病孕妇血糖控制及分娩结局的影响  

Effect of prenatal follow-up and perinatal management on blood glucose control and delivery outcomes in pregnant women with gestational diabetes mellitus(GDM)

作　　者：严春华 郑群英 邹娜 Yan Chunhua;Zheng Qunying;Zou Na(Community Health Service Center,Shiweitang Street,Liwan District,Guangzhou,Guangdong 510360,China;Community Health Service Center of Qiaozhong Street,Liwan District,Guangzhou,Guangdong 510360,China;Department of Obstetrics and Gynecology,Liwan District People's Hospital,Guangzhou,Guangdong 510360,China)

机构地区：[1]广州市荔湾区石围塘街道社区卫生服务中心,广东广州510360 [2]广州市荔湾区桥中街道社区卫生服务中心,广东广州510360 [3]广州市荔湾区人民医院,广东广州510360

出　　处：《首都食品与医药》2023年第22期91-93,共3页Capital Food Medicine

摘　　要：目的探讨加强产前随访和围产期管理对妊娠期糖尿病(GDM)孕妇血糖控制及分娩结局的影响。方法选取2021年8月-2022年7月广州市荔湾区石围塘街道社区卫生服务中心GDM孕妇90例,随机分为观察组(n=45)和对照组(n=45),对照组给予常规高危孕妇随访管理,观察组给予加强产前随访和围产期管理,比较两组GDM认知度[糖尿病知识测试问卷(DKT)]、自我管理能力[糖尿病自我管理量表(DSMQ)]、血糖水平[糖化血红蛋白(HbA1c)、空腹血糖(FPG)、餐后2h血糖(2hPG)]、妊娠结局。结果两组干预后DKT、DSMQ评分高于干预前,观察组干预后DKT、DSMQ评分高于对照组(P<0.05);两组干预后HbA1c、FPG、2hPG低于干预前,观察组干预后HbA1c、FPG、2hPG低于对照组(P<0.05);观察组不良妊娠结局发生率低于对照组(P<0.05)。结论加强产前随访和围产期管理可提高GDM孕妇对GDM的认知度、自我管理能力,有利于改善孕妇血糖水平及分娩结局,值得临床推广。Objective To discuss effect of prenatal follow-up and perinatal management on blood glucose control and delivery outcomes in pregnant women with gestational diabetes mellitus(GDM).Methods A total of 90 pregnant women with GDM in our hospital from August 2021 to July 2022 were randomly divided into observation group(n=45)and control group(n=45).The control group was given routine management of high-risk pregnant women,the observation group was given enhanced prenatal follow-up and perinatal management,GDM awareness[Diabetes Knowledge Test Questionnaire(DKT)],self-management ability[Diabetes Self-management Scale(DSMQ)],blood glucose[hemoglobin A1c(HbA1c),fasting blood glucose(FPG),2h postprandial blood glucose(2hPG)]and pregnancy outcomes were compared between the two groups.Results The DKT and DSMQ scores after management in two groups were higher than those in before management,and the DKT and DSMQ scores after management in observation group were higher than those in control group(P<0.05).The HbA1c,FPG and 2hPG after management in two groups were lower than those in before management,and the HbA1c,FPG and 2hPG after management in observation group were lower than control group(P<0.05).The incidence of adverse pregnancy outcome in observation group was lower than that in control group(P<0.05).Conclusions Strengthening prenatal follow-up and perinatal management can improve the awareness of GDM and self-management ability of pregnant women with GDM,which is helpful to improve blood glucose control and delivery outcomes,it's worth for further clinical promotion.

关 键 词：产前随访 围产期管理 妊娠期糖尿病 孕妇 血糖控制 分娩结局 

分 类 号：R714.25[医药卫生—妇产科学]