对妊娠期糖尿病孕妇实施规范化管理的临床研究

Clinical study on the standardized management of patients with gestational diabetes mellitus

目的：探讨对妊娠期糖尿病孕妇实施规范化管理的效果。方法：选择产前检查确诊妊娠期糖尿病的孕妇335例，其中接受规范管理的260例作为实验组，实验组进行的规范化管理包括：组织管理、血糖监测、饮食管理、运动指导、胰岛素治疗、心理干预与健康教育。未接受规范化管理的75例作为对照组。结果：实验组孕妇并发症的发生率低、围产儿结局好，与对照组相比有显著性差异（P＜0.05）。结论：对妊娠期糖尿病患者进行规范化管理，能有效地减少母婴并发症的发生，改善妊娠结局，值得临床推广。

Objective： To investigate the effect of the standardized management of gestational diabetes mellitus patients. Methods： 335 gestational diabetes mellitus pregnant women were divided into two groups which include a control group of 75 cases and research group of 260 cases. The research group received the standardized management which included organizational management, blood glucose monitoring, dietary management, exercise guidance, insulin therapy, psychological intervention, and health education. The control group did not receive the standardized management. Results： The incidence of complications of maternal and infants in the research group was lower than that of the control group and the pregnancy outcomes were better, and the difference of the two groups was statistically significant （P〈0.05）. Conclusion： Standardized management can reduce complications of maternal and improve the outcome of pregnancy. It is worth for clinical use.