中国医学科学院学报

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中国医学科学院学报

中国医学科学院学报 ›› 2021, Vol. 43 ›› Issue (4): 551-557.doi: 10.3881/j.issn.1000-503X.13044

• 论著 • 上一篇    下一篇

移动医疗用于妊娠期糖尿病规范化管理的效果

黄菲玲1,胡惠英1,张素菡1,李瓅2,张莉3,陈小霞4,张楚辞5,钟红秀6,姚爱民7,刘翠英8,张宁芝9,薛小文10,马良坤1()   

  1. 1国家妇产疾病临床研究中心 中国医学科学院 北京协和医学院 北京协和医院妇产科,北京 100730
    2郑州大学附属郑州中心医院妇产科,郑州 450007
    3沈阳市妇幼保健院妇产科,沈阳 110014
    4泉州市妇幼保健院妇女保健科,福建泉州 362000
    5沈阳市妇婴医院内分泌科,沈阳 110011
    6厦门市妇幼保健院妇产科,福建厦门 361003
    7北京市顺义区妇幼保健院妇产科,北京 101300
    8济南市妇幼保健院妇产科,济南 250001
    9阜阳市人民医院妇产科,安徽阜阳 236004
    10北京市平谷区医院妇产科,北京 101200
  • 收稿日期:2020-06-02 出版日期:2021-08-30 发布日期:2021-09-03
  • 通讯作者: 马良坤 E-mail:maliangkun@pumch.cn
  • 基金资助:
    北京市科技计划项目(Z161100000516117)

Effect of Mobile Health for Standardized Management on Women with Gestational Diabetes Mellitus

HUANG Feiling1,HU Huiying1,ZHANG Suhan1,LI Li2,ZHANG Li3,CHEN Xiaoxia4,ZHANG Chuci5,ZHONG Hongxiu6,YAO Aimin7,LIU Cuiying8,ZHANG Ningzhi9,XUE Xiaowen10,MA Liangkun1()   

  1. 1Department of Obstetrics and Gynecology,PUMC Hospital,CAMS and PUMC,National Clinical Research Center for Obstetrics and Gynecology,Beijing 100730,China
    2Department of Obstetrics and Gynecology,Zhengzhou Central Hospital Affiliated to Zhengzhou University,Zhengzhou 450007,China
    3Department of Obstetrics and Gynecology,Shenyang Maternity and Child Health Hospital,Shenyang 110014,China
    4Department of Women’s Health Care,Quanzhou Women’s and Children’s Hospital,Quanzhou,Fujian 362000,China
    5Department of Endocrinology,Shenyang Women’s and Children’s Hospital,Shenyang 110011,China
    6Department of Obstetrics and Gynecology,Xiamen Maternal and Child Health Hospital,Xiamen,Fujian 361003,China
    7Department of Obstetrics and Gynecology,Shunyi Women’s and Children’s Hospital of Beijing Children’s Hospital,Beijing 101300,China
    8Department of Obstetrics and Gynecology,Jinan Maternity and Child Care Hospital,Jinan 250001,China
    9Department of Obstetrics and Gynecology,Fuyang People’s Hospital,Fuyang,Anhui 236004,China
    10Department of Obstetrics and Gynecology,Beijing Pinggu Hospital,Beijing 101200,China
  • Received:2020-06-02 Published:2021-08-30 Online:2021-09-03
  • Contact: MA Liangkun E-mail:maliangkun@pumch.cn
  • Supported by:
    Beijing Municipal Science and Technology Project(Z161100000516117)

摘要:

目的 探讨移动医疗平台用于妊娠期糖尿病(GDM)孕妇规范化管理的效果。方法 采用随机对照试验的研究方法,纳入295例GDM孕妇,计算机生成随机数字将受试者随机分为传统管理组和移动医疗管理组。传统管理组实行GDM规范化管理,移动医疗管理组在传统管理的基础上辅以移动医疗管理。记录并比较两组孕妇血糖控制情况,以及低出生体重儿、巨大儿、早产、胎膜早破、产后出血、新生儿窒息、畸形、分娩方式和新生儿转归等差异。结果 移动医疗管理组孕妇血糖控制合格率优于传统管理组[(67.22±22.76)%比(60.69±21.28)%],差异有统计学意义(P=0.004)。两组低出生体重儿、巨大儿、早产、胎膜早破、产后出血、新生儿窒息、畸形、分娩方式和新生儿转归差异均无统计学意义(P均>0.05)。结论 移动医疗用于GDM规范化管理可提高GDM孕妇的血糖控制率,但并未改善妊娠结局。由于干预时间较短,移动医疗对妊娠结局的改善作用仍需进一步研究。

关键词: 移动医疗, 妊娠期糖尿病, 血糖控制, 规范化管理

Abstract:

Objective To explore the performance of mobile health platform for standardized management of pregnant women with gestational diabetes mellitus(GDM). Methods A randomized controlled trial was conducted,in which 295 women with GDM were randomized into two groups(traditional management group and mobile health management group)by a computer-generated sequence.The traditional management group accepted standardized GDM management,and the mobile health management group was supplemented by mobile health management based on the standardized management.The glycemic control rate and the incidences of low birth weight,macrosomia,preterm birth,premature rupture of membranes,postpartum hemorrhage after cesarean section,neonatal asphyxia,malformation,and admission to the neonatal intensive care unit were compared between the two groups. Results The glycemic control rate in mobile health management group was significantly higher than that in the traditional management group [(67.22±22.76)% vs.(60.69±21.28)%,P=0.004].The incidences of low birth weight,macrosomia,preterm birth,premature rupture of membranes,postpartum hemorrhage after cesarean section,neonatal asphyxia,malformation,and admission to the neonatal intensive care unit demonstrated no significant differences between groups(all P > 0.05). Conclusions Mobile health applied in standardized management is conducive to the glycemic control of GDM women,whereas it does not significantly improve the pregnancy outcomes.Due to the short time of intervention,the effects of mobile health on pregnancy outcomes need further study.

Key words: mobile health, gestational diabetes mellitus, glycemic control, standardized management

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