To study the effect of one-day outpatient intervention on gestational diabetes mellitus (GDM) patients, and to explore the pregnancy outcome relevant to GDM patients and their fetus. Methods: The GDM patients were divided into two groups according to their own intention to the one-day outpatient. According to systematic sampling method, we chose 200 GDM patients from the above 2 groups, respectively. The 200 GDM patients in the control group were matched the observation group with the age and gestational age, then the pregnancy outcome was tracked. Results: The control level and success rate for the two hours blood sugar after breakfast and hemoglobin A1c (HbA1c) in the observation group were better than those in the control group (P<0.001). The maternal complication rate (46.50%) and neonatal complication rate (21.50%) in the observation group were lower than those in the control group (71.50%, 41.50%; P<0.001). The maternal complications rate of fetal distress, premature and the neonatal complications rate of fetal macrosomia, neonatal respiratory distress syndrome (NRDS), low weight, congenital heart disease, neonatal pneumonia, and rate in neonatal NICU were significantly lower than those in the control group (P<0.05). Conclusion: One-day outpatient intervention could control blood sugar effectively, reduce the maternal and neonatal complications. It is worth promoting.
目的:追踪观察妊娠期糖尿病(gestational diabetes mellitus,GDM)患者一日门诊干预效果,并探讨GDM一日门诊对GDM患者母儿结局的影响。方法:将GDM患者根据自身意愿分为参与一日门诊组和未参与一日门诊组,按照系统抽样法在参与一日门诊组中抽取200例为观察组,在未参与一日门诊组中抽取年龄与孕周匹配的200例为对照组,追踪观察两组母儿结局。结果:观察组早餐后2 h血糖、糖化血红蛋白(HbA1c)控制水平及控制达标率均优于对照组(P<0.001)。观察组孕产妇并发症发生率(46.50%)及新生儿并发症发生率(21.50%)均低于对照组(71.50%,41.50%;P<0.001)。观察组妊娠期高血压疾病、胎儿窘迫、早产等孕母并发症的发生率,以及巨大儿、新生儿呼吸窘迫综合征(NRDS)、新生儿低体重、新生儿肺炎等新生儿并发症发生率及新生儿入住NICU率较对照组明显降低(P<0.05)。结论:GDM一日门诊能够有效控制血糖,降低孕母及新生儿并发症,值得推广。.