目的 总结妊娠期糖尿病(gestational diabetes mellitus,GDM)患者产后随访的最佳证据,为构建妊娠期糖尿病患者产后随访方案提供循证依据.方法 检索BMJ Best Practice,UpToDate,乔安娜布里格斯研究所循证卫生保健中心数据库(Joanna Briggs Institute,JBI),国际指南协作网,英国国家临床医学研究所指南库(National Institute for Health and Care Excellence,NICE),美国糖尿病协会网站,临床指南-医脉通,Cochrane Library,荷兰医学文摘数据库(Embase),OVID医学期刊数据库,PubMed,Web of Science,泉方本地PubMed,中国知网,万方,维普和中国生物医学数据库中关于妊娠期糖尿病患者产后血糖随访有关的临床指南、专家共识、证据总结、系统评价、临床决策和原始研究.检索时限为建库至 2023 年 7 月.结果 共纳入 9篇相关文献,包括临床实践指南 5 篇、专家共识、证据总结、临床决策和系统评价各 1 篇.通过对证据的总结,最终从妊娠期糖尿病患者产后血糖随访、生活方式指导、母乳喂养、药物治疗、健康教育 5 个方面汇总 17 条最佳证据.结论 总结的最佳证据可为医院和社区妊娠期糖尿病患者产后随访提供循证依据.
Best evidences for postpartum follow-up in patients with gestational diabetes
Objective To summarise the best evidence for postpartum follow-up acquired from patients with gestational diabetes mellitus so as to provide an evidence-based reference for establishment of a postpartum follow-up program.Methods Literature on postpartum blood glucose follow-up in patients with gestational diabetes mellitus was retrieved from 17 major databases including BMJ Best Practice,UpToDate,Joanna Briggs Institute(JBI),International Guide Collaboration Network,National Institute for Health and Care Excellence(NICE),American Diabetes Association website,Medlive,Cochrane Library,Embase,OVID,PubMed,Web of Science,Quanfang local PubMed,CNKI,Wanfang Data,VIP,and Sinomed from the inception of databases to July 2023.The literature to be retrieved included guidelines,expert consensus,evidence summaries,systematic reviews,clinical decisions,and the original studies.Results A total of 9 articles,five practice guidelines,a systematic review,an evidence summaries,an expert consensus and a clinical decisions,were included.Totally,17 pieces of best evidence were summarised from the five aspects:postpartum blood glucose,lifestyle guidance,breastfeeding,drug treatment and health education.Conclusions The summarised best evidences can provide evidence-based references for postpartum follow-up of patients with gestational diabetes.Nursing staff in hospitals and community health centres should formulate relevant follow-up plans according to the actual postpartum conditions of patients in order to prevent the incidence of postpartum Type Ⅱ diabetes.
万方数据
维普
