通过微信影响妊娠期糖尿病患者的妊娠结局

Pregnancy Outcomes in Women with Gestational Diabetes Mellitus by WeChat

目的:探讨通过微信作为媒介对妊娠期糖尿病患者进行医学营养治疗及运动指导后产生的围产期影响。方法:收集本院2015年8月-2016年4月收治的150例妊娠糖期尿病患者,分为观察组78例和对照组72例。观察组采用微信进行医学营养治疗及运动指导,对照组常规干预,统计分析所有GDM患者孕期体质量增长、血糖和糖化血红蛋白达标率和母婴结局。结果:观察组GDM孕期体质量增长正常率、血糖和糖化血红蛋白达标率明显高于对照组,两组比较差异均有统计学意义(P<0.05);两组患者孕产妇并发症、胎儿及新生儿并发症的发生率比较差异有统计学意义(P<0.05),但两组患者的新生儿呼吸窘迫综合征、剖宫产率及产钳助产率比较差异均无统计学意义(P>0.05)。结论:通过微信对GDM患者进行医学营养治疗及运动指导能有效控制孕妇体质量增长及血糖水平,减少母婴围产期并发症的发生,值得临床推广。

Objective： To investigate the perinatal effect due to the use of WeChat as a medium in the medical nutrition therapy and exercise guidance on the treatment of gestational diabetes mellitus.nethod： 150 cases of GDM from August 2015 to April 2016 in our hospital were selected and divided into observation group of 78 cases and control group of 72 cases.The observation group was given WeChat for medical nutrition therapy and exercise guidance, control group was given routine intervention.The pregnancy body mass growth, blood glucose and glycosylated hemoglobin compliance rate and maternal and infant outcomes of two groups were compared.Result： The rate of body mass growth, serum glucose and glycated hemoglobin level in pregnancy of observation group were significantly higher than the control group, the differences were statistically significant （ P〈0.05 ） .There were significant differences in the incidence of maternal complications, fetal complication and neonatal complication in two groups （ P〈0.05 ）, but there were no significant differences of neonatal respiratory distress syndrome, the rate of cesarean section and forceps delivery （ P〉0.05 ） .Conclusion： The method of using WeChat on medical nutrition therapy and exercise guidance can effectively control the body mass growth and serum glucose level in pregnancy, reduce incidence of complications in maternal and infant, it is worthy of clinical promotion.