妊娠期糖尿病妇女产后血糖管理的最佳证据总结  

Summary of Best Evidence for Postpartum Glucose Management in Women with Gestational Diabetes Mellitus

作　　者：马晓霞 钱舒华 孙岩 周天纯 林宇萍 王娜[1] MA Xiaoxia;QIAN Shuhua;SUN Yan;ZHOU Tianchun;LIN Yuping;WANG Na(Obstetrics and Gyne-cology Hospital of Fudan University,Shanghai 200090)

机构地区：[1]复旦大学附属妇产科医院,上海200090

出　　处：《上海护理》2023年第12期17-23,共7页Shanghai Nursing

基　　金：上海市卫生健康委员会科研项目(202150050);复旦大学附属妇产科医院项目(FC2021CR203_ZC)。

摘　　要：目的通过检索、评价国内外文献资料,总结妊娠期糖尿病(GDM)妇女产后血糖管理的最佳证据。方法通过国内外数据库系统检索,并采用澳大利亚JBI循证卫生保健中心的文献评价标准和证据分级,对目标文献进行评价、分级,提取有关GDM妇女产后血糖管理的最佳证据。结果最终筛选纳入文献24篇,包括指南12篇、专家共识1篇、临床决策3篇、系统评价8篇。总结出最佳证据共20条,包括产后血糖筛查、药物管理、生活方式干预、母乳喂养指导和产后避孕及计划妊娠管理等5个方面。结论GDM妇女产后血糖管理的最佳证据可为GDM妇女提供规范化的血糖管理措施,为医护人员的临床实践提供参考依据。Objective To summarize the best evidence for postpartum glucose management in women with gestational diabetes mellitus(GDM)by retrieving and evaluating domestic and foreign literature.Methods Rel⁃evant articles were retrieved from the databases at home and abroad,and then target articles were evaluated and graded based on the literature evaluation and evidence grading criteria specified by Australia's JBI evi⁃dence-based healthcare center,in order to extract the best evidence for postpartum glucose management in women with GDM.Results A total of 24 articles were finally included,including 12 guidelines,1 expert con⁃sensus,3 clinical decisions and 8 systematic reviews.A total of 20 pieces of best evidence were summarized,involving the following 5 aspects:postpartum glucose screening,pharmaceutical administration,lifestyle inter⁃vention,breastfeeding guidance,and postpartum contraception and planned pregnancy management.Conclusion The best evidence for postpartum glucose management in women with GDM can offer standardized measures for glu⁃cose management in these patients and serve as a clinical practice reference for healthcare providers.

关 键 词：糖尿病 妊娠 产后期 高血糖症 预防 复发 生活方式 

分 类 号：R473.71[医药卫生—护理学]