系统化管理在妊娠期糖尿病中的应用效果

Effect of systematic management on gestational diabetes

目的探讨系统化管理在妊娠期糖尿病中的应用效果。方法选取200例妊娠期糖尿病孕妇,根据干预方法不同分为观察组与对照组,各100例。观察组采用系统化管理,对照组采用常规管理。比较两组孕妇血糖控制效果、不良分娩结局发生率、干预前后饮食、运动及睡眠情况。结果观察组血糖控制良好率为85.0%,明显高于对照组的62.0%,差异有统计学意义(P<0.05)。观察组不良分娩结局发生率为5.0%,明显低于对照组的33.0%,差异有统计学意义(P<0.05)。干预前,两组饮食、运动、睡眠评分比较,差异无统计学意义(P>0.05);干预后,两组饮食、运动、睡眠评分均明显高于干预前,且观察组明显高于对照组,差异具有统计学意义(P<0.05)。结论系统化管理模式应用于妊娠期糖尿病孕妇中,可良好控制血糖水平,改善不良分娩结局,提高其健康行为,值得临床推广与应用。

Objective To explore the application effect of systematic management in gestational diabetes mellitus.Methods 200 pregnant women with gestational diabetes were selected and divided into observation group and control group according to different intervention methods,with 100 cases in each group.Systematic management was used in the observation group and routine management was used in the control group.The blood glucose control effect,the incidence of adverse delivery outcomes,diet,exercise and sleep before and after intervention were compared between the two groups.Results The good rate of blood glucose control in the observation group was 85.0%,which was significantly higher than 62.0% in the control group(P<0.05).The incidence of adverse delivery outcomes in the observation group was 5.0%,which was significantly lower than 33.0% in the control group(P<0.05).Before the intervention,there was no significant difference in the scores of diet,exercise and sleep between the two groups(P>0.05);After the intervention,the scores of diet,exercise and sleep in the two groups were significantly higher than those before the intervention,and the observation group was significantly higher than that in the control group(P<0.05).Conclusion The application of systematic management mode in pregnant women with gestational diabetes can well control blood glucose level,improve adverse delivery outcomes and improve their health behavior,which is worthy of clinical promotion and application.