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目的探讨在妊娠期糖尿病(GDM)护理专科门诊对GDM孕妇实施孕期系统化管理的临床效果。方法选择收入院分娩,在GDM护理专科门诊经血糖筛查诊断为GDM并建档实施孕期系统化管理的孕妇50例为观察组;随机选同期分娩时确诊的GDM孕妇(妊娠期未行GDM筛查及未接受孕期系统化管理)45例为对照组,观察2组GDM孕妇的妊娠结局。结果观察组孕妇在GDM相关知识知晓、饮食控制、遵医行为、血糖监测及胎动计数方法等方面的掌握率明显高于对照组(P均<0.01);在妊娠高血压疾病、羊水过多、早产、剖宫产、巨大儿及新生儿窒息等方面的发生率低于对照组(P均<0.05)。结论对GDM孕妇在GDM护理专科门诊实施孕期系统化管理,有利于孕妇主动配合治疗与护理,提高其对GDM相关知识的认知、对饮食控制、适度运动及自我监护方法的掌握,从而减少母婴并发症,改善分娩结局。
Objective To investigate the clinical effect of gestational diabetes mellitus (GDM) specialist care on pregnant women with GDM during pregnancy. Methods: The hospital of GDM nursing specialty was diagnosed as GDM by blood sugar screening and 50 pregnant women with systematic management during pregnancy were selected as the observation group. GDM pregnant women who were diagnosed at the same period of childbirth randomly Check and did not receive systematic management during pregnancy) 45 cases of control group, observed two groups of pregnant women with GDM pregnancy outcome. Results The grading rate of pregnant women in observation group was significantly higher than that of control group (P <0.01) in knowledge of GDM, diet control, compliance, blood glucose monitoring and fetal movement counting method. In pregnancy-induced hypertension, polyhydramnios, Preterm birth, cesarean section, giant children and neonatal asphyxia and other aspects of the incidence was lower than the control group (P all <0.05). Conclusion GDM pregnant women in GDM nursing clinic implementation of systematic management of pregnancy during pregnancy is conducive to the initiative with the treatment and care to improve their knowledge of GDM-related knowledge of diet control, moderate exercise and self-monitoring methods to master, thus reducing the mother Infant complications, improve delivery outcomes.