摘要
目的探讨移动医疗在妊娠期糖尿病(gestational diabetes,GDM)规范化管理中的应用价值,为《妊娠期糖尿病临床护理实践指南》后期标准制订提供借鉴。方法选取2020年6月—2023年6月在北京市平谷区医院诊断妊娠期糖尿病孕妇120例,通过随机抽取号码将其随机分为移动医疗干预组和传统方法干预组,各60例。传统方法干预组给予GDM规范化管理,移动医疗干预组在GDM规范化管理的基础上辅助应用移动医疗平台管理。对2组血糖控制情况以及妊娠结局进行比较。结果移动医疗干预组血糖控制40例(66.67%),传统方法干预组控制29例(48.33%),差异有统计学意义(P=0.042);2组剖宫产、低出生体质量儿、巨大儿、早产、胎膜早破、产后出血、新生儿窒息、畸形发生率以及新生儿转归情况比较,差异均无统计学意义(P>0.05)。结论移动医疗应用于妊娠期糖尿病规范化管理中能显著提升产妇血糖合格率,但未发现对改善妊娠结局有显著效果,还需要继续深入研究。
Objective To explore the application value of mobile health care in the standardized management of Gestational diabetes(GDM),and provide reference for the later standard formulation of Clinical Care Practice Guidelines for Gestational Diabetes.Methods A total of 120 pregnant women diagnosed with gestational diabetes in Beijing Pinggu Hospital from June 2020 to June 2023 were selected and randomly divided into the mobile medical intervention group and the traditional intervention group by random selection of numbers,with 60 cases in each group.The traditional intervention group was given standardized GDM management.Assist application mobile medical platform management.Blood glucose control and pregnancy outcomes were compared between the two groups.Results A total of 40 cases(66.67%)in the mobile medical intervention group were controlled,29 cases(48.33%)in the traditional intervention group were controlled,the difference between the two groups was statistically significant(P=0.042).There were no significant differences in cesarean section,low birth weight infants,macrosomia infants,premature delivery,premature rupture of membranes,postpartum hemorrhage,neonatal asphyxia,incidence of malformation and neonatal outcomes between the two groups(P>0.05).Conclusion The application of mobile medical treatment in the standardized management of gestational diabetes can significantly improve the qualified rate of maternal blood sugar,but it has not been found to have a significant effect on improving pregnancy outcomes,and further research is needed.
作者
薛小文
刘理达
XUE Xiaowen;LIU Lida(Department of Obstertrics and Gynecology,Beijing Pinggu Hospital,Beijing 101200,China)
出处
《中国卫生标准管理》
2024年第15期31-34,共4页
China Health Standard Management
关键词
移动医疗
妊娠期糖尿病
规范化管理
妊娠结局
新生儿
血糖
糖尿病
慢性病
mobile health care
gestational diabetes mellitus
standardized management
pregnancy outcome
newborn
blood sugar
diabetes mellitus
chronic disease
