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目的:探讨院外认知行为干预对妊娠糖尿病孕妇妊娠结局。方法:选取2015年8月~2016年12月某院妊娠糖尿病孕妇160例,随机分为对照组与研究组各80例。对照组实行规范的管理,研究组除了实行规范管理之外,注重联合院外认知行为干预,对比两组血糖情况、妊娠结局及围生儿结局。结果:两组干预后的两组相关知识知晓率均有明显提升,比较有统计学意义(P<0.05),且研究组高于对照组(P<0.05)。治疗后,两组的血糖4项指标、妊娠结局以及围生结局均显著优于对照组(P<0.05)。结论:院外认知行为的干预可全面降低母婴并发症,进而获得满意的妊娠结局。
Aims: To investigate the pregnancy outcomes of pregnant women with gestational diabetes mellitus with cognitive behavioral intervention. Methods: From August 2015 to December 2016, 160 pregnant women with gestational diabetes mellitus in one hospital were randomly divided into control group and study group with 80 cases each. Control group to implement standardized management, research group in addition to the implementation of standardized management, pay attention to the joint hospital cognitive behavior intervention, compared two groups of blood glucose, pregnancy outcomes and perinatal outcome. Results: The rate of awareness of the two groups after intervention was significantly higher (P <0.05), and the study group was higher than the control group (P <0.05). After treatment, four indicators of blood glucose, pregnancy outcome and perinatal outcome were significantly better than the control group (P <0.05). Conclusion: The intervention of extra-hospital cognitive behavior can reduce maternal and child complications in an all-round way and thus achieve satisfactory pregnancy outcome.