妊娠期糖尿病规范化管理的效果及对妊娠结局的影响

Effect of Standardized Management of Gestational Diabetes Mellitus and Its Impact on Pregnancy Outcome

目的:分析妊娠期糖尿病(GDM)规范化管理的效果及对妊娠结局影响。方法:选择2018年3月-2019年3月笔者所在医院诊治的120例GDM孕妇,均选择在笔者所在医院分娩。按照随机数字表法分为对照组及试验组,各60例。对照组实施普通产检宣教及胰岛素注射用药指导,试验组实施GDM规范化管理措施。观察两组空腹血糖、餐后2 h血糖、并发症发生率、剖宫产率及新生儿结局。结果:试验组GDM知识合格率及血糖控制水平均优于对照组,差异均有统计学意义(P<0.05)。试验组产后出血、妊娠期高血压疾病、巨大儿、高胆红素血症、新生儿窒息、新生儿低血糖发生率及剖宫产率均低于对照组,差异均有统计学意义(P<0.05)。结论:GDM规范化管理可有效提高孕妇对相关知识的认知程度,将血糖控制在理想范围内,明显减少母婴不良结局,提高母婴安全性,值得临床推广应用。

Objective:To analyze the effect of standardized management of gestational diabetes mellitus(GDM)and its impact on pregnancy outcome.Method:A total of 120 pregnant women with GDM diagnosed and treated in our hospital from March 2018 to March 2019,and they were all delivered in our hospital.According to the random number table method,pregnant women were divided into the control group and the experimental group,60 cases in each group.The control group was provided with general prenatal education and Insulin Injection medication guidance,while the experimental group was provided with standardized management measures of GDM.The effect of standardized management was observed.Fasting blood sugar,postprandial 2 h blood sugar,complication rate,cesarean section rate and neonatal outcome were observed between the two groups.Result:The GDM knowledge qualification rate and blood sugar control level in the experimental group were better than those of the control group,and the differences were statistically significant(P<0.05).The incidences of postpartum hemorrhage,gestational hypertension,macrosomia,hyperbilirubinemia,neonatal asphyxia,neonatal hypoglycemia and cesarean section rate in the experimental group were lower than those of the control group in the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).Conclusion:Standardized management of GDM can effectively improve pregnant women’s cognition of relevant knowledge,control blood sugar within the ideal range.It can significantly reduce adverse outcomes of maternal and infant and improve maternal and infant safety.It is worthy of clinical application.