【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。更多还原

【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.更多还原