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目的探讨对妊娠糖尿病高危因素孕妇实施综合管理的效果。方法选择2009-01-2009-12 170例妊娠糖尿病高危人群作为观察组,2008-01-2008-12未实施实施综合管理的150例妊娠糖尿病高危人群作为对照组。观察组实施下列综合管理干预:完善管理组织、加强心理支持、实施健康教育、指导营养治疗、运动治疗、密切监测。结果随访至分娩后3个月,观察组进展为妊娠糖尿病者9例,发生孕妇围生期发生妊娠糖尿病并发症5例;胎儿围生期并发症7例;均低于对照组的18例、11例、18例(P<0.05)。结论通过对妊娠糖尿病高危孕妇进行综合管理,减少妊娠糖尿病的发生,改善妊娠结局。
Objective To explore the effect of integrated management on pregnant women with high risk of gestational diabetes. Methods A total of 170 high risk population of gestational diabetes from January 2009 to December 2009 were selected as the observation group and 150 high risk population of gestational diabetes who did not implement integrated management from January 2008 to December 2008 were selected as the control group. The observation group implemented the following comprehensive management interventions: improving the management organization, strengthening psychological support, implementing health education, guiding nutritional therapy, exercise therapy and close monitoring. Results Follow-up to 3 months after delivery, the observation group progressed to gestational diabetes mellitus in 9 cases, the occurrence of gestational diabetes mellitus complications in pregnant women during the perinatal period in 5 cases; Fetal perinatal complications in 7 cases were lower than the control group of 18 cases, 11 cases and 18 cases (P <0.05). Conclusion Through the comprehensive management of pregnant women with high risk of gestational diabetes, reduce the incidence of gestational diabetes and improve pregnancy outcomes.