基于多学科诊疗全程健康管理模式应用于妊娠期糖尿病孕妇的效果分析

Effect Analysis on Holistic Health Management Mode Based on MDT in Pregnant Women with Gestational Diabetes Mellitus

目的:探讨基于多学科诊疗(MDT)全程健康管理模式应用于妊娠期糖尿病孕妇的效果。方法:2018年1月-2020年5月收治妊娠期糖尿病患者200例,随机数表法分为两组,各100例。对照组给予常规管理模式;研究组加用基于MDT全程健康管理模式。比较两组患者自我管理能力评分及血糖水平、妊娠结局。结果:两组干预后自我管理能力评分均高于干预前,且研究组高于对照组,差异有统计学意义(P<0.05)。两组干预后空腹血糖、餐后2 h血糖及糖化血红蛋白水平均低于干预前,且研究组低于对照组,差异有统计学意义(P<0.05)。研究组胎膜早破、羊水过多、妊娠期高血压、巨大儿发生率均低于对照组,差异有统计学意义(P<0.05)。结论:基于MDT全程健康管理模式在妊娠期糖尿病患者中应用可有效提升患者自我管理能力,合理控制血糖水平,改善妊娠结局。

Objective:To explore the effect of holistic health management mode based on multidisciplinary diagnosis and treatment(MDT)applied to pregnant women with gestational diabetes mellitus.Methods:From January 2018 to May 2020,200 patients with gestational diabetes mellitus were divided into two groups by random number table method with 100 cases in each group.The control group was given conventional management mode.The study group was given the MDT-based holistic health management mode.Self-management ability score,blood glucose level and pregnancy outcome of patients were compared between the two groups.Results:Compared with before intervention,the scores of self-management ability in two groups were higher after intervention,and the study group was higher than the control group,the difference was statistically significant(P<0.05).Fasting blood glucose,2-hour postprandial blood glucose and glycosylated hemoglobin levels in two groups were lower after intervention than before intervention,and the study group was lower than the control group,the differences were statistically significant(P<0.05).The incidences of premature rupture of membranes,polyhydramnios,gestational hypertension,and macrosomia in the study group were lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusion:The application of holistic health management mode based on MDT in patients with gestational diabetes mellitus can effectively improve patients'self-management ability,control blood glucose level reasonably,and improve pregnancy outcome.