摘要
目的:观察后疫情时代信息化管理对妊娠期糖尿病孕妇妊娠结局的影响。方法:回顾性分析本院收治的330例妊娠期糖尿病孕妇的就诊情况,2019年3-10月就诊的165例妊娠期糖尿病孕妇作为对照组(予以传统孕期管理),2020年5-11月就诊的165例妊娠期糖尿病孕妇作为研究组(予以后疫情时代信息化管理)。比较两组血糖控制情况、自我护理能力评分、体重指数变化情况、妊娠结局和满意度情况。结果:干预4周,两组血糖指标均低于干预前(P<0.05),但两组空腹血糖比较,差异无统计学意义(P>0.05);研究组服糖后1、2 h血糖均低于对照组(P<0.05)。干预4周,两组自我护理能力各维度评分均高于干预前(P<0.05),且研究组均高于对照组(P<0.05)。分娩时,两组体重指数均高于干预前,研究组低于对照组(P<0.05)。研究组剖宫产率、巨大儿率均低于对照组(P<0.05);两组产后出血率、早产率、胎儿窘迫率、新生儿窒息率比较,差异均无统计学意义(P>0.05)。研究组满意度高于对照组(P<0.05)。结论:后疫情时代信息化管理能够增强妊娠期糖尿病孕妇的自我管理行为,降低剖宫产率,优化妊娠结局。
Objective:To observe the influence of information management in post-epidemic era on the efficacy,self-care ability and pregnancy outcome of pregnant women with gestational diabetes mellitus.Method:The clinical data of 330 pregnant women with gestational diabetes mellitus in our hospital were analyzed retrospectively.From March to October 2019,165 pregnant women with gestational diabetes mellitus in pregnancy served as control group(traditional pregnancy management),from May to November 2020,165 pregnant women with gestational diabetes mellitus were treated as the research group(under the post-epidemic era information management).The blood glucose control,self-care ability scores,body mass index change,pregnancy outcome and satisfaction were compared between the two groups.Result:After 4 weeks of intervention,the blood glucose indexes of the two groups were lower than those before the intervention(P<0.05),but there was no significant difference in fasting blood glucose between the two groups(P>0.05),the blood glucose of the research group were lower than those of the control group at 1 h and 2 h after the intervention(P<0.05).After 4 weeks of intervention,the self-care ability scores of all dimensions in both groups were higher than those before the intervention(P<0.05),and the research group were higher than those of the control group(P<0.05).At childbirth,the body mass index of the two groups were higher than those before the intervention(P<0.05),but that of the research group was lower than that of the control group(P<0.05).The cesarean section rate and macrosomia rate in research group were lower than those of control group(P<0.05);there were no significant differences in postpartum hemorrhage rate,premature birth rate,fetal distress rate and neonatal asphyxia rate between the two groups(P>0.05).Conclusion:Information management in post-epidemic era can enhance the self-management behavior of pregnant women with gestational diabetes mellitus,reduce the cesarean section rate and optimize the pregnancy outcome.
作者
邱敏玲
罗雨琼
黄敏燕
刘艳平
贾金平
胡健蓉
李泉
QIU Minling;LUO Yuqiong;HUANG Minyan;LIU Yanping;JIA Jinping;HU Jianrong;LI Quan(The Maternal and Child Health Care Hospital of Guangzhou City,Guangzhou 510800,China)
出处
《中国医学创新》
CAS
2021年第14期175-179,共5页
Medical Innovation of China
基金
广州市花都区科技计划项目(20-HDWS-062)。
关键词
妊娠期糖尿病
妊娠结局
后疫情时代
信息化管理
Gestational diabetes mellitus
Pregnancy outcome
Post-epidemic era
Information management
