摘要
目的分析笔者医院施行的“一日病房”措施对妊娠期糖尿病孕产妇妊娠并发症、不良妊娠结局和分娩时手术操作的干预效果.方法将2016年1月~2018年12月在首都医科大学附属北京同仁医院南区接受分娩的妊娠期糖尿病孕产妇按照是否接受“一日病房”分为实验组(接受“一日病房”)和对照组(未接受“一日病房”).对两组孕产妇的基本资料、妊娠并发症、不良妊娠结局和分娩时手术操作进行回顾性分析.结果实验组中无严重表现子痫前期和伴严重表现子痫前期等妊娠期并发症的发生率显著低于对照组(P<0.05);实验组中低出生体重儿和产后出血等妊娠结局的发生率较对照组显著下降(P<0.05).结论接受“一日病房”干预的妊娠期糖尿病患者在无严重表现子痫前期和伴严重表现子痫前期等妊娠期并发症、低出生体重儿和产后出血等妊娠结局上有明显改善.临床工作中应加强对妊娠期糖尿病相关影响因素的一级预防,加强对妊娠期糖尿病患者的管理,从而有效改善母婴结局.
Objective To analyze the effect of"one-day ward"measures in our hospital on pregnancy complications,adverse pregnancy outcomes and surgical operation in pregnant women with gestational diabetes mellitus.Methods Pregnant women with gestational diabetes who were delivered to the south of Beijing Tongren Hospital affiliated to Capital Medical University between January 2016 to December 2018 were divided into experimental groups(accepting"one-day ward")and controls(not accepting the"one-day ward").Retrospective analysis of basic data of pregnant women,pregnancy complications,adverse pregnancy outcomes,and surgical procedures during childbirth was conducted.Results The incidence of gestational complications such as severe preeclampsia and severe preeclampsia was significantly lower in the experimental group,compared with controls(P<0.05).The incidence of pregnancy outcomes in the experimental group with low birth weight and postpartum hemorrhage significantly lower than the controls(P<0.05).Conclusion Patients with gestational diabetes who received"one-day ward"intervention had significant improvement in pregnancy outcomes such as severe preeclampsia and severe preeclampsia,as well as pregnancy outcomes such as low birth weight and postpartum hemorrhage.In clinical practice,we should strengthen the primary prevention of factors related to gestational diabetes,strengthen the management of gestational diabetes patients,and effectively improve the maternal and infant prognosis.
作者
徐彩炎
王润锦
罗富强
吴青芸
张皓宇
付玉静
Xu Caiyan;Wang Runjin;Luo Fuqiang(Department of Obstetrics and Gynecology,Beijing Tongren Hospital,Capital Medical University,Beijing 100730,China;不详)
出处
《医学研究杂志》
2019年第11期84-87,73,共5页
Journal of Medical Research
基金
首都医科大学本科生科研创新项目(XSKY2019)
关键词
妊娠期糖尿病
妊娠并发症
妊娠结局
健康教育
Gestational diabetes mellitus
Pregnancy complications
Pregnancy outcome
Health education
