妊娠期糖尿病孕妇产后血糖随访的依从性研究

Glucose follow-up survey of gestational diabetes in postpartum

目的探讨影响妊娠期糖代谢异常孕妇产后血糖的高危因素,以加强糖尿病孕妇产后的教育,提高产后血糖检查的随访率。方法160例产前确诊为GIGT和GDM的孕妇,通过宣教和书面嘱托,于分娩后6～8周回院行糖耐量试验,统计随访率,比较随访组与失访组的年龄、学历、家庭收入、分娩方式等指标,分析产后失访的原因。结果160例中120例进行血糖检查,随访率为75%,失访率为25%。随访组的年龄、学历、家族史、剖宫产率、家庭月收入明显高于失访组。随访组OGTT2h血糖大于11.1mmol/L者、新生儿低血糖发生率明显低于失访组。结论医护人员在规范宣教GDM产后随访过程中,应对年轻的、本科以下学历的、无糖尿病家族史的GIGT和GDM孕妇加强产后糖代谢检查的宣教工作。

Objective：To determine the influence glucose risk factors of women with gestational abnormal glucose,and to provide the instruction for postpartum education and postpartum follow-up rate. Methods：With educational propaganda and writing inform,a total of 160 women of GDM were asked to come back to the hospital in 6～8 weeks after delivery to perform oral glucose tolerance test（OGTT）.In order to analyze the factors for GDM women who fail to follow-up. Age,educational background,family income and pregnancy outcome were compared in women follow-up and those who didn′t. Results：One hundred and twenty GDM had come back in 6～8 weeks after delivery to carry out the OGTT,and the follow-up rate was 75%.The follow-up group,college degree,family history of diabetes,ceraren section rate,family monthly income,and all of them were significantly higher than those failed to follow-up. While 2 hour glucose level over 11.1mmol/L,and neonatal hypoglycemia in the follow-up group was significantly lower than those who didn′t. Conclusion：The educational propaganda should be reinforced for postpartum follow-up OGTT in those GDM women who are younger,with lower education and without family diabetes history.