【摘要】 目的 探究规范化治疗改善妊娠期糖尿病患者孕期及哺乳期母婴综合指标的作用效果。方法 选取2019年3月—2021年3月福建省妇幼保健院产科收治的92例规律产检的妊娠期糖尿病患者为研究对象，随机抽签法分为对照组（n=46）、研究组（n=46），对照组进行常规治疗，研究组进行规范化治疗，对比两组临床效果，包括对疾病健康相关知识掌握评分、遵医行为评分、血糖水平、母婴结局。结果 治疗后，研究组对疾病健康知识掌握评分、遵医行为评分较对照组高，差异有统计学意义（P<0.05）；研究组妊娠末期及哺乳期餐后2 h血糖、糖化血红蛋白较对照组低，差异有统计学意义（P<0.05）；研究组剖宫产率为28.26%、糖代谢异常率为4.35%、巨大儿为2.17%、新生儿低血糖为2.17%、新生儿窒息发生率为2.17%低于对照组的50.0%、17.39%、15.22%、15.22%、13.04%，且哺乳期产妇BMI、新生儿出生体质量低于对照组，差异有统计学意义（P<0.05）。结论 规范化治疗整体效果较高，可有效调节妊娠期糖尿病患者孕期及哺乳期糖代谢变化，改善母婴结局，提高妊娠及分娩质量水平。更多还原

【Abstract】 Objective To explore the effect of standardized treatment on improving the comprehensive indicators of maternal and infant in pregnancy and lactation in patients with gestational diabetes mellitus.Methods A total of 92 cases of regular gestational diabetes mellitus admitted to the obstetrics department of Fujian Provincial Maternal and Child Health Hospital from March 2019 to March 2021 were selected as the research subjects. They were divided into control group(n=46) and study group(n=46) by random drawing. The control group received routine treatment,and the study group received standardized treatment. The clinical effects of the two groups were compared, including the scores on the mastery of disease and health knowledge, the scores on medical compliance behavior, blood glucose levels, and maternal and infant outcomes.Results After treatment, the scores of disease and health knowledge mastery and medical compliance behavior scores in the study group were higher than those in the control group, the difference was statistically significant(P<0.05). Postprandial blood glucose, and glycosylated hemoglobin in the study group at the end of pregnancy and lactation were lower than those in the control group, the difference was statistically significant(P<0.05). In the study group, the cesarean section rate was 28.26%, the abnormal glucose metabolism rate was 4.35%, the macrosomia rate was 2.17%, the neonatal hypoglycemia rate was 2.17%, the incidence of neonatal asphyxia was 2.17% lower than that of the control group by 50.00%, 17.39%, 15.22%, 15.22% and 13.04%, and the BMI of lactating mothers and birth weight of newborns was lower than control group, the difference was statistically significant(P<0.05).Conclusion The overall effect of standardized treatment is high, which can effectively regulate the changes of glucose metabolism during pregnancy and lactation in patients with gestational diabetes mellitus, improve maternal and infant outcomes, and improve the quality of pregnancy and delivery.更多还原