[1]沈婕.家庭血糖监测结合一日门诊对妊娠期糖尿病 孕妇妊娠结局的影响[J].中国计划生育和妇产科,2018,(9):52-54.
　SHEN Jie.Effects of the home blood glucose monitoring combined with one-day outpatient service on patients with gestational diabetes mellitus[J].Chinese Journal of Family Planning & Gynecotokology,2018,(9):52-54.
点击复制

家庭血糖监测结合一日门诊对妊娠期糖尿病 孕妇妊娠结局的影响
分享到：

《中国计划生育和妇产科》[ISSN:1674-4020/CN:51-1708/R]

卷:
期数:
2018年9期
页码:
52-54
栏目:
论著与临床
出版日期:
2018-09-25

文章信息/Info

Title:
Effects of the home blood glucose monitoring combined with one-day outpatient service on patients with gestational diabetes mellitus
作者:
沈婕
海南西部中心医院妇产科
Author(s):
SHEN Jie
Department of Obstetrics and Gynecology, West Central Hospital of Hainan Province, Danzhou Hainan 571700,P.R.China
关键词:
妊娠期糖尿病; 家庭血糖监测; 一日门诊; 妊娠结局
Keywords:
gestational diabetes mellitus;  home blood glucose monitoring;  one-day outpatient service;  pregnancy outcomes
分类号:
R 714.256
摘要:
目的探讨家庭血糖监测结合一日门诊干预对妊娠期糖尿病（gestational diabetes mellitus, GDM）孕妇妊娠结局的影响。方法选取2015年10月至2017年1月在海南西部中心医院经口服葡萄糖耐量试验检查确诊为GDM的孕妇396例，根据是否自愿参加家庭血糖监测结合一日门诊干预分为两组。参加家庭血糖监测结合一日门诊干预的为干预组（135例），未参加干预的为对照组（261例）。比较两组孕妇妊娠结局。结果干预组剖宫产率（141 %）、产后出血率（89 %）和巨大儿发生率（0）均低于对照组（241 %、165 %、57 %），差异有统计学意义（P<005）；两组在妊娠期高血压疾病、羊水过多、早产和胎儿宫内生长受限方面比较，差异无统计学意义（P>005）。结论GDM采取家庭血糖监测结合一日门诊的干预，可有效改善妊娠结局，降低母婴并发症的发生。
Abstract:
ObjectiveTo evaluate the impact on the pregnancy outcomes of home blood glucose monitoring combined with one-day outpatient service in patients with gestational diabetes mellitus (GDM). MethodsFrom October 2015 to January 2017 in West Central Hospital of Hainan Province, a total of 396 GDM pregnant women diagnosed by oral glucose tolerance test (OGTT) were participated in the study. Patients were divided into intervention group (135 cases) and control group (261 cases) according to their will for home blood glucose monitoring and one-day outpatient service. Pregnancy outcomes were compared between the two groups. ResultsThe incidence of cesarean section, postpartum hemorrhage and fetal macrosomia in the intervention group(141 %,89 %,0) were lower than those in the control group(241 %,165 %,57 %), the difference was statistically significant (P<005). And there were no statistically significant difference in the incidence of pregnancy-induced hypertension, polyhydramnios, premature labor and fetal growth restriction between the two groups (P>005). ConclusionThe combination of home blood glucose monitoring and one-day outpatient service could effectively improve pregnancy outcomes and reduce complications in pregnant women with GDM.

参考文献/References:

［1］WB Gaertner，MR kwaan，RD Madoff, et al Rectal cancer: An evidence-based update for primary care providers ［J］. World Journal of Gastroenterology, 2015, 35 (25): 7659-7671. ［2］刘德强，刘杰波妊娠期糖尿病的病因、筛查、诊断及其妊娠结局的研究进展 ［J］临床医学工程，2016，23（3）：401-402 ［3］US Kesmodel. Risks and guidelines for the consumption of alcohol during pregnancy ［J］. Obstet Gynecol, 2016, 126 (2): 162-174. ［4］Salman, Yousuf, Guraya. Association of type 2 diabetes mellitus and the risk of colorectal cancer: A meta-analysis and systematic review ［J］. World Journal of Gastroenterology, 2015, 16 (19): 6026-6031. ［5］韩欢，应豪妊娠期糖尿病对母儿影响 ［J］中国实用妇科与产科杂志，2013，29（4）：244-246 ［6］陈慧个体化营养膳食治疗妊娠期糖尿病的临床疗效 ［J］现代预防医学，2012，39（11）：2722-2723 ［7］张言博，张露，严锐，等运动对妊娠期糖尿病防治作用的流行病学研究概述 ［J］现代预防医学，2016，43（24）：4459-4461 ［8］Carolan-Olah MC, intervention programmes for gestational diabetes mellitus. Integrative role of thalamic nucleus submedius and ventrolateral orbital cortex in nociceptive modulation and acupuncture analgesia (review) ［J］. Acupuncture Research, 1997, 23 (Z1): 17-19. ［9］孙伟杰妊娠期糖尿病血糖监测 ［J］中国实用妇科与产科杂志，2013，29（4）：260-262 ［10］王晶，张计香妊娠期糖尿病患者认知情况及血糖监测对妊娠结局的影响 ［J］中国妇幼保健，2014，29（23）：3716-3718 ［11］苏世萍，张岱，刘春红，等妊娠期糖尿病一日门诊管理实践与效果 ［J］中国护理管理，2012，12（7）：66-68 ［12］黄巧，余友霞，肖正华，等妊娠期糖尿病一日门诊教育模式的效果观察 ［J］重庆医学，2016，45（21）：3016-3018 ［13］周文胜，张爱霞，胡桂风一日门诊干预对妊娠期糖尿病孕妇妊娠结局效果的研究 ［J］循证护理，2016，2（1）：52-55

相似文献/References:

[1]程兰.妊娠期糖代谢异常患者血清胱抑素C测定的意义[J].中国计划生育和妇产科,2010,(06):0.
　CHENG Lan Tianjin Centtal Gynaecology and Obstetrics Hospital of,Tianjin 0000,China.[J].Chinese Journal of Family Planning & Gynecotokology,2010,(9):0.
[2]赵昆.D-二聚体测定在产科常见病理性高凝状态疾病的临床意义[J].中国计划生育和妇产科,2011,(04):0.
　ZHAO Kun.[J].Chinese Journal of Family Planning & Gynecotokology,2011,(9):0.
[3]潘玥,刘巧,朱绍密,等.妊娠期糖尿病胰岛素治疗的临床分析[J].中国计划生育和妇产科,2011,(06):0.
　PAN Yue,LIU Qiao,ZHU Shao-mi.[J].Chinese Journal of Family Planning & Gynecotokology,2011,(9):0.
[4]黎凤彩,苏凌春,曾志娟,等.血清胱抑素C联合血清尿酸在监测妊娠期糖尿病发生妊娠期高血压疾病的临床意义[J].中国计划生育和妇产科,2013,(05):0.
　LI Feng-cai,SU Ling-chun,ZENG Zhi-juan,et al.[J].Chinese Journal of Family Planning & Gynecotokology,2013,(9):0.
[5]王国育.妊娠期糖尿病孕妇孕前体质量指数对分娩方式和新生儿体质量的影响[J].中国计划生育和妇产科,2014,(07):0.
　WANG Guo-yu,[J].Chinese Journal of Family Planning & Gynecotokology,2014,(9):0.
[6]赵卓姝,关海兰,何洁云,等.孕期个性化营养指导对妊娠期糖尿病患者妊娠结局的影响[J].中国计划生育和妇产科,2014,(08):0.
　ZHAO Zhuo-shu,GUAN Hai-lan,HE Jie-yun,et al.[J].Chinese Journal of Family Planning & Gynecotokology,2014,(9):0.
[7]徐辉,姜群英,韦红梅,等.个性化营养干预对妊娠期糖尿病的治疗作用[J].中国计划生育和妇产科,2015,(01):0.
　XU Hui,JIANG Qun-ying,WEI Hong-mei,et al.[J].Chinese Journal of Family Planning & Gynecotokology,2015,(9):0.
[8]孙桢,黄立,夏勇,等.妊娠期糖尿病与核转录因子NF-κBp65相关性研究[J].中国计划生育和妇产科,2015,(04):0.
　SUN Zhen,HUANG Li,XIA Yong,et al.[J].Chinese Journal of Family Planning & Gynecotokology,2015,(9):0.
[9]杨立黔.妊娠期糖尿病诊断新标准对母婴结局的影响[J].中国计划生育和妇产科,2015,(07):0.
　YANG Li-qian,[J].Chinese Journal of Family Planning & Gynecotokology,2015,(9):0.
[10]杨金英,钟利若,刘晓英,等.小麦纤维素对妊娠期糖尿病患者血糖和血脂的影响研究[J].中国计划生育和妇产科,2015,(10):0.
　YANG Jin-ying,ZHONG Li-ruo,LIU Xiao-ying,et al.[J].Chinese Journal of Family Planning & Gynecotokology,2015,(9):0.

更新日期/Last Update: 2018-09-25