妊娠期糖尿病患者产后随访管理的证据总结

Postpartum follow-up management of patients with gestational diabetes:an evidence summary

目的:总结妊娠期糖尿病患者产后随访管理的证据,为临床实践提供参考。方法:系统检索计算机决策系统、指南网、专业协会网站、循证文献资源库及原始文献数据库中关于妊娠期糖尿病患者产后随访及管理的证据,包括临床决策、指南、系统评价、证据总结、专家共识等,检索时限为2010年1月至2023年12月。由2名研究者独立对文献质量进行评价,提取并汇总形成最佳证据。结果:共纳入18篇文献,包括临床决策3篇、指南8篇、专家共识1篇、系统评价5篇、随机对照试验1篇,最终汇总的妊娠期糖尿病患者产后随访管理的证据包括随访的必要性、随访管理的内容、随访的障碍因素及促进随访的方式4个方面共20条证据。结论:本研究总结了关于妊娠期糖尿病患者产后随访管理的证据,为临床医护人员科学、规范地进行妊娠糖尿病患者产后随访提供参考依据。

Objective:To summarize the best evidence for the postpartum follow-up management of patients with gestational diabetes.Methods:We systematically searched the computer decision-making system,websites of major guidelines and professional institutes,evidence-based literature repositories,and major databases to collect relevant clinical decisions,guidelines,systematic reviews,evidence summaries,expert consensuses and original articles published from January 2010 to December 2023.Two researchers independently evaluated the quality of the included literature to extract and summarize the best evidence.Results:A total of 18 articles were included,including 3 clinical decisions,8 guidelines,5 systematic reviews,1 randomized controlled trial,1 expert consensuses to obtain 20 pieces of best evidence from 4 aspects,including the necessity of follow-up,the content of follow-up management,the barriers to implement follow-up,and ways to promote follow-up.Conclusion:This study summarizes the best evidence on postpartum follow-up of patients with gestational diabetes to provide a scientific and standardized basis for the follow-up management of these patients.