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目的:探讨对妊娠糖尿病高危孕妇的综合管理方法和价值。方法:研究对象为2015年12月~2016年12月来杭州市妇产科医院就诊的妊娠糖尿病高危孕妇,共87例,采用数字随机法分为对照组和观察组,对照组孕妇43例,采用常规管理方式,观察组孕妇44例,采用综合管理方式,比较两组孕妇的临床管理效果。结果:两组干预之后,对发生糖尿病的因素、糖尿病对妊娠的影响及孕期的饮食搭配等相关知识的程度提升,并且观察组的知识掌握程度要明显对对照组的更有优势(P<0.05);干预后两组孕妇的空腹血糖、早餐后血糖、午餐后血痰及夜间血糖均并干预前明显降低,并且观察组降低的程度比对照组的更大,其血糖水平更低(P<0.05)。结论:对妊娠糖尿病高危孕妇进行综合管理能够有效提升产妇对妊娠糖尿病的相关知识掌握程度,将其血糖水平控制在合理的范围之内。
Objective: To explore the comprehensive management of pregnant women with high risk of gestational diabetes and its value. Methods: The subjects were 87 high risk pregnant women with gestational diabetes who were treated in Hangzhou Obstetrics and Gynecology Hospital from December 2015 to December 2016. The patients were divided into control group and observation group by digital randomization method, and 43 pregnant women in control group, Using routine management, 44 pregnant women in the observation group were enrolled in the study. The comprehensive management was used to compare the clinical management effects of the two groups of pregnant women. Results: After the two interventions, the degree of knowledge on the factors of occurrence of diabetes, the influence of diabetes on pregnancy and diet during pregnancy increased, and the degree of knowledge mastery of the observation group was obviously superior to that of the control group (P <0.05 ); Fasting blood glucose, postprandial blood glucose, postprandial blood phlegm and nocturnal blood glucose in both groups were significantly lower after intervention than those in the control group, with a lower level of blood glucose (P <0.05 ). Conclusion: The comprehensive management of high-risk pregnant women with gestational diabetes can effectively improve maternal understanding of gestational diabetes control knowledge, to control their blood glucose levels within a reasonable range.