Abstract：Objective To explore the application and clinical guidance effect of the whole process management of blood glucose management team in patients with gestational diabetes mellitus. Methods From January 2020 to January 2021,96 patients with gestational diabetes mellitus admitted to the Department of Endocrinology of Pingxiang People′s Hospital were selected as research subjects. All the patients were diagnosed by oral 75 g glucose tolerance test in the outpatient department of the hospital, and the patients were divided into the control group and the observation group according to random number table methods, 48 cases in each group. The control group received a one-day clinic instruction of endocrinology, and the observation group combined with the whole process management of blood glucose management team, and urging patients to reexamine within 6 weeks to 6 months after delivery. The self-management level,the incidence of hypoglycemia, the compliance rate of fasting blood glucose, the compliance rate of postprandial blood glucose, the rate of postpartum prognosis and the incidence of maternal and neonatal complications were compared between the two groups. Results The scores of prevention and treatment of abnormal blood glucose, diet control, blood glucose monitoring, activity, medication and foot care in the observation group were higher than those in the control group, and the differences were statistically significant (P＜0.05). The incidence of hypoglycemia in the observation group after management was lower than that in the control group, and the difference was statistically significant (P＜0.05). The compliance rate of fasting blood glucose, the compliance rate of postprandial blood glucose, the rate of postpartum prognosis in the observation group after management were higher than those in the control group, and the differences were statistically significant (P＜0.05). The total incidence of polyhydramnios, premature rupture of membranes,puerperal infection and neonatal macrosomia, premature infants and neonatal hypoglycemia in the observation group after intervention were lower than those in the control group, and the differences were statistically significant (P＜0.05). Conclusion The whole process management of blood glucose management team for gestational diabetes mellitus patients is helpful to improve the self-management level of patients, reduce the incidence of maternal and neonatal complications, and improve the achievement rate of fasting blood glucose, postprandial blood glucose and postpartum outcome rate, which is worthy of popularization and application.
朱明慧；黄婷；邹志鹏. 血糖管理团队全程管理妊娠糖尿病的临床指导及应用分析[J]. 中国当代医药, 2022, 29(15): 88-91.
ZHU Minghui；HUANG Ting；ZOU Zhipeng. Clinical guidance and application analysis of the whole process management of blood glucose management team in gestational diabetes mellitus. 中国当代医药, 2022, 29(15): 88-91.
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