妊娠期糖耐量异常孕妇的产科门诊综合管理

黄红香

doi:10.7619/jcmp.202005034

妊娠期糖耐量异常孕妇的产科门诊综合管理

黄红香

湖北省红安县人民医院, 湖北红安, 438400

详细信息

中图分类号: R248.3
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出版历程
- 收稿日期: 2019-10-10
- 网络出版日期: 2020-08-26

Comprehensive management of Obstetric Outpatient Department for pregnant women with gestational impaired glucose tolerance

HUANG Hongxiang

Hong'an County People's Hospital, Hong'an, Hubei, 438400

摘要

摘要: 目的分析产科门诊综合管理对妊娠期糖耐量异常孕妇血糖水平、分娩结局以及胎儿的影响。方法选取本院诊断为妊娠期糖耐量异常的孕妇120例作为研究对象,并按照随机数字表法分为观察组和对照组,各60例。对照组给予常规产前检查、孕期教育以及营养指导等管理,观察组在对照组基础上给予产科门诊综合管理。比较2组孕妇不同时间段血糖水平、体质量变化、并发症、妊妊娠结局及胎儿情况。结果入组时,2组孕妇空腹血糖、餐后2 h血糖、孕妇体质量比较差异无统计学意义(P>0.05); 观察组在孕32、36、40周时的餐后2 h血糖、产后体质量均低于对照组(P<0.05),且观察组孕期增重值低于对照组(P<0.05); 观察组妊娠期高血压、胎儿早产以及胎膜早破发生率均低于对照组(P<0.05); 观察组孕妇自然分娩发生率高于对照组,新生儿体质量优于对照组(P<0.05)。结论产科门诊综合管理模式应用于妊娠期糖耐量异常孕妇中能够明显改善孕妇产后2 h血糖水平,有效控制体质量变化,降低孕妇并发症发生率,提高孕妇分娩率以及胎儿的安全性。
- 产科门诊 /
- 综合管理 /
- 妊娠期糖耐量异常 /
- 分娩 /
- 血糖
Abstract: Objective To investigate the effect of comprehensive management on blood sugar level, delivery outcomes and fetus of pregnant women with gestational impaired glucose tolerance. Methods A total of 120 pregnant women with gestational impaired glucose tolerance diagnosed in our hospital were selected and divided into two groups according to random number table method. The control group(n=60)was given routine prenatal examination, pregnancy education, and nutrition guidance, while the observation group(n=60)received the comprehensive management based on the control group. The blood glucose level, weight changes, complications, pregnancy outcomes and fetal status of pregnant women in different periods were compared between the two groups. Results The fasting blood glucose and postprandial 2 h blood glucose, and pregnancy body mass between the two groups showed no differences at the admission time(P>0.05). The observation group had lower postprandial 2 h blood glucose, and pregnancy body mass after delivery than the control group at the 32, 36 and 40 gestational weeks(P<0.05). The incidences of pregnancy hypertension, preterm delivery and premature rupture of membranes in the observation group were lower than that in the control group(P<0.05). The incidence of natural childbirth in the observation group was higher, and the neonatal body mass was better than that in the control group(P<0.05). Conclusion Comprehensive management can effectively improve the postprandial 2 h blood glucose level, control the changes of body weight, reduce the incidence of complications, and improve the delivery rate of pregnant women and safety of the fetus.
- Outpatient Department of Obstetrics /
- comprehensive management /
- gestational impaired glucose tolerance /
- delivery /
- blood sugar

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