文章摘要
246例妊娠期糖尿病孕妇产后6周血糖监测状况分析
Analysis of blood glucose monitoring in 246 pregnant women with gestational diabetes at 6 weeks postpartum
投稿时间:2021-01-27  修订日期:2021-01-27
DOI:
中文关键词: 妊娠期糖尿病  产后  血糖  监测
英文关键词: 
基金项目:
作者单位邮编
马春芸 宁波市海曙区段塘街道社区卫生服务中心妇保科 浙江省宁波 315000
张映霜 宁波市海曙区段塘街道社区卫生服务中心妇保科 浙江省宁波 
蒋巧巧 中国科学院大学宁波华美医院全科医学科 浙江省宁波 315000
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中文摘要:
      目的 分析妊娠期糖尿病(GDM)孕妇产后6周行口服葡萄糖耐量试验(OGTT)状况及影响因素,探索提高产后血糖管理对策。方法 回顾性分析对确诊的GDM孕妇产后行75gOGTT复查和访谈。结果 2015~2019年共计孕妇建卡数2533例,2532例行OGTT确诊GDM246例,其中170例孕妇产后6周行OGTT,51例拒绝检查,25例失访。170例中发现25例糖调节受损,2例糖尿病。51例GDM孕妇拒绝OGTT的因素分别是:自测空腹血糖正常、坚信自己不会得糖尿病、害怕多次抽血、没时间、喝糖水不适及家人不支持或反对。结论 GDM孕妇产后6周行OGTT是必要的,但依从性不高。建议扩大健康宣教对象,加强宣教力度,利用信息技术完善动态管理机制,妇保医生联合全科医生对GDM孕妇产后血糖管理。
英文摘要:
      Objective In order to analyze the status and influencing factors of oral glucose tolerance test (OGTT) in pregnant women with GDM at 6 weeks postpartum, and explore the management countermeasures for improving postpartum glucose follow-up. Methods retrospective analysis method was used to review and interview 75gOGTT of pregnant women with confirmed GDM postpartum. Results the result showed that a total of 2533 pregnant women, 2532 pregnant women were diagnosed with GDM 246 by OGTT, among which 170 pregnant women received OGTT 6 weeks postpartum, 51 refused to check, and 25 lost to follow-up. A total of 25 cases with impaired glucose regulation and 2 cases with diabetes were found in 170 cases. Conclusion The authors
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