【摘要】 目的:浅析予以妊娠期糖尿病(GDM)产妇PDCA循环管理对其血糖水平及妊娠结局的影响。方法:选择2019年3-10月于本院住院的GDM产妇100例为研究对象,采用随机数字表法将其分为试验组和对照组,每组50例。对照组执行常规妊娠期间管理,试验组执行医学营养治疗配合PDCA循环管理。比较两组干预前后的血糖水平,并比较两组妊娠结局及并发症发生情况。结果:干预前,两组糖化血红蛋白、空腹血糖,早、中、晚餐后2 h血糖水平比较,差异均无统计学意义(P>0.05);干预后,两组上述指标水平均低于干预前,且试验组上述指标水平均低于对照组,差异均有统计学意义(P<0.05)。试验组不良妊娠结局发生率为4.00%,显著低于对照组的16.00%,差异有统计学意义(P<0.05)。试验组妊娠期间并发症发生率为10.00%,显著低于对照组的36.00%,差异有统计学意义(P<0.05)。结论:予以GDM产妇PDCA循环法管理疾病,能有效控制自身妊娠期间血糖水平,改善不良妊娠结局,降低妊娠期间并发症风险,有利母婴分娩安全,临床应用效果佳,值得推广。更多还原

【Abstract】 Objective:To analyze the influence of PDCA circulation gestational diabetes mellitus (GDM) management on puerpera blood glucose level and pregnancy outcome.Method:A total of 100 puerpera with GDM hospitalized in our hospital from March to October 2019 were selected as the research object.They were divided into experimental group and control group by random number table method,with 50 cases in each group.The control group performed routine pregnancy management,the experimental group performed medical nutrition therapy and PDCA cycle management.Blood glucose levels before and after intervention were compared between two groups,and pregnancy outcomes and complications were compared between two groups.Result:Before the intervention,the blood glucose levels of HbA1c,fasting blood glucose,and 2-hour after breakfast,lunch and dinner were compared between the two groups,the differences were not statistically significant (P>0.05).After the intervention,the level of the above indicators in both groups were lower than those of before the intervention,and the level of the above indicators in the experimental group were lower than those in the control group,with statistically significant differences (P<0.05).The incidence of adverse pregnancy outcome in the test group was 4.00%,significantly lower than 16.00% in the control group,with statistically significant differences (P<0.05).The incidence of complications during pregnancy in the test group was 10.00%,significantly lower than 36.00% in the control group,and the difference was statistically significant (P<0.05).Conclusion:PDCA circulation method is applied to GDM puerpera for disease management,which can effectively control blood glucose level during pregnancy,improve adverse pregnancy outcome,reduce the risk of complications during pregnancy,and promote the safety of maternal and infant delivery.It has a good clinical application effect and is worth promoting.更多还原