摘要
目的本研究结合当前国家基本公共卫生服务孕产妇与0～6岁儿童健康管理,探讨更加有效的针对妊娠糖尿病孕妇产后及其婴儿的产后访视模式,以加强妊娠糖尿病孕妇产后母婴管理。方法选择我市2017年6月～2018年6月活产的东港区和岚山区的妊娠糖尿病患者及其婴儿作为观察组,采用延伸的产后访视模式进行管理6个月,五莲县和莒县活产的妊娠糖尿病患者及其婴儿作为对照组,采用目前的产后访视模式,对比不同的产后访视模式对妊娠糖尿病母亲产后体质量、血糖和婴儿体格发育、发育评估等指标的差异。结果产妇产后血糖与BMI在产妇出院后1周内两组间无差异,在产后42 d表现出一定差异,产后6个月差异显著,实验组血糖值和BMI明显比对照组低,差异有统计学意义(P<0.05)。GDM产妇其婴儿的身长在出院后1周、满月、3月龄和6月龄未表现出差异;婴儿体重增长在出院后1周内无差异,实验组婴儿在1月龄、3月龄和6月龄增长较实验组慢,差异有统计学意义(P<0.05);婴儿发育评估在3月龄和6月龄均有差异,差异有统计学意义(P<0.05)。结论有必要结合国家基本公共卫生服务项目,推行延伸的产后访视模式,加强妊娠糖尿病母婴远期管理。
Objective To explore more effective postpartum visit modes for postpartum pregnant women with gestational diabetes and their infants in conjunction of the current National Basic Public Health Service Project and health man- agement for puerpera and children aged 0-6, so as to strengthen postpartum maternal and infant management in preg- nant women with gestational diabetes. Methods The patients with gestational diabetes and their infants in Donggang District and Lanshan District which were born live from June 2017 to June 2018 in Rizhao were selected as the obser- vation group, who were given extended postpartum visit mode for management for 6 months. The patients with gesta- tional diabetes and their infants born live in Wulian County and Juxian County were selected as the control group. The current postpartum visit mode was applied. The differences in postpartum body mass, blood glucose in the mothers with gestational diabetes, infant physical development, and developmental assessment were compared between different post- partum visit modes. Results There was no difference in postpartum blood glucose and BMI between the two groups within one week afrer discharge from the hospital. Certain difference was shown in 42 days after delivery, and the dif- ference was significant after 6 months afrer delivery. The blood glucose level and BMI in the experimental group were significantly lower than those in the control group, which was statistically significant（P〈0.05）. There was no difference in the length of the infants delivered by the GDM puerpera at 1 week, full moon, 3 months and 6 months afler dis- charge; there was no difference in the infant weight gain within 1 week afrer discharge. In the experimental group, the growth of infants at 1 month, 3 months and 6 months was slower than that in the control group, and the difference was statistically significant（P〈0.05）; infant developmental assessment was different at 3 months and 6 months of age, with statistical significance（P〈0.05）. Conclusion It is necessary to implement an extended postpartum visit mode in conjunc- tion with the National Basic Public Health Service Project, so as to strengthen the long-term management of GDM mothers and their infants.
作者
袁安香
苏里
秦秀云
刘鑫
刘宁艳
YUAN Anxian;SU Li;QIN Xiuyun;LIU Xin;LIU Ningyan(Department of Pediatric Health,Rizhao Women and Children＇s Hospital in Shandong Province,Rizhao 276800,China;Department of Obstetrics,Rizhao Women and Children＇s Hospital in Shandong Province,Rizhao 276800,China;Department of Maternal Health,Rizhao Women and Children＇s Hospital in Shandong Province,Rizhao 276800,China;Rizhao Health School,Rizhao 276800,China)
出处
《中国现代医生》
2018年第25期61-64,共4页
China Modern Doctor
基金
山东省基层卫生科技创新计划[29号]
关键词
妊娠糖尿病
高危儿
产后访视模式
体质量分级管理
早期综合发展
Gestational diabetes
High-risk infants
Postpartum visit mode
Classified management of body mass
Early comprehensive development
