移动医疗在妊娠期糖尿病规范化管理中的应用价值

Clinical Value of Mobile Medicine in Standardized Management of Gestational Diabetes Mellitus

【目的】探讨移动医疗在妊娘期糖尿病(GDM)规范化管理中的应用价值。【方法】选取2018年1月至2019年9月在本院产科诊治的120例GDM患者,根据GDM管理方法不同采用随机数表法分为观察组和对照组,每组60例。两组患者均给予常规GDM规范化管理,观察组加用基于微信的移动医疗管理。对比两组管理效果、妊娘结局及分娩结局。【结果】两组患者管理2周后、管理4周后空腹血糖(FPG)、餐后2h血糖(2hPG)均较管理前下降,FPG、2hPG达标率均较管理前升高;且观察组管理2周后2hPG达标率,管理4周后FPG、2hPG达标率均高于对照组,差异有统计学意义(P<0.05)。观察组子痫前期发生率、剖宫产率及总产程时间均低于对照组,新生儿低血糖发生率低于对照组,其差异有统计学意义(P<0.05)。【结论】移动医疗应用于GDM的规范化管理中,能明显提高血糖控制效果,改善妊娘结局及分娩结局,值得临床推广应用。

【Objective】To analyze the clinical value of mobile medicine in the standardized management of gestational diabetes mellitus(GDM).【Methods】A total of 120 GDM patients admitted to Beijing Pinggu District Hospital from January 2018 to September 2019 were randomly divided into the observation group and the control group,with 60 cases in each group.Both groups were given routine GDM standardized management,while the observation group was added with WeChat-based mobile medical management.The management effect,pregnancy outcome and delivery outcome of the two groups were compared.【Results】Two weeks and 4 weeks after management,the Fasting plasma glucose(FPG)and 2-hour postprandial blood glucose(2hPG)of the two groups were lower than before the management.The FPG and 2hPG compliance rates were higher than before the management.Both the 2hPG compliance rate after 2 weeks of management and the FPG and 2hPG compliance rates after 4 weeks of management in the observation group were higher than those of the control group(P<0.05).The incidence of preeclampsia,the rate of cesarean section and the total time of labor in the observation group were lower than those in the control group;the difference was statistically significant(P<0.05).The incidence of hypoglycemia in newborns of the observation group was lower than that of the control group(P<0.05).【Conclusion】The application of mobile medicine in the standardized management of GDM can significantly improve the effect of blood glucose control,improve the outcome of pregnancy and delivery.