首页|GDM患者血糖管理决策行为与血糖控制及新生儿血糖水平的相关性

GDM患者血糖管理决策行为与血糖控制及新生儿血糖水平的相关性

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目的:分析妊娠期糖尿病(GDM)患者血糖管理决策行为与血糖控制及新生儿血糖水平的相关性.方法:对本院2022年8月 2023年8月收治的GDM患者103例血糖管理决策行为进行调查,并按调查结果分为血糖管理决策行为较好组(n=37)及较差组(n=66),收集所有患者临床资料,记录血糖控制情况及新生儿血糖水平,采用Pear-son相关性分析患者血糖管理决策行为、血糖控制及新生儿血糖水平的相关性.结果:管理决策行为较差组空腹血糖(FPG)、餐后2h血糖(2hPG)、糖化血红蛋白(HbAlc)水平均高于较好组,新生儿出生后12h、24h FPG和2hPG水平均低于较好组(均P<0.05).血糖管理决策行为与GDM孕妇FPG、2hPG、HbAlc水平呈负相关,与新生儿出生后12h、24h FPG和2hPG水平呈正相关,孕妇FPG、2hPG、HbAlc水平均与新生儿出生后12h、24h FPG和2hPG水平呈负相关(均P<0.05).多因素logistic回归分析,学历低、自然妊娠均为GDM患者血糖管理决策行为较差的风险因素(P<0.05).结论:血糖管理决策行为与孕妇血糖水平及新生儿血糖水平密切相关,临床应重视GDM患者血糖管理决策行为的相关影响因素,加强宣传和干预.
Correlation among the decision making behavior of blood glucose management,the blood glucose control,and the neonatal blood glucose level of pregnant women with gestational diabetes mellitus
Objective:To analyze the correlation among the decision making behavior of blood glucose management,the blood glucose control,and the neonatal blood glucose level of pregnant women with gestational diabetes mellitus(GDM).Methods:The decision making behavior of blood glucose management of 103 pregnant women with GDM was investigated from August 2022 to August 2023,and according to the investigation results,these women were divided into group A(37 women with good behavior of blood glucose management)and group B(66 women with poor behavior blood glucose management).The clinical data of the women in the two groups were collected.The blood glucose con-trol situation and the neonatal blood glucose level of the women in the two groups were recorded.Pearson correlation was used to analyze the correlation among the decision making behavior of blood glucose management,the blood glu-cose control,and the neonatal blood glucose level of pregnant women with GDM.Results:The levels of fasting plasma glucose(FPG),2-hour postprandial plasma glucose(2hPG)and glycosylated hemoglobin(HbAlc)of the women in group B were significantly higher than those of the women in group A.The neonatal FPG and 2hPG levels at 12 and 24 hours after birth in group B were significantly lower than those in group A(all P<0.05).The decision-making behav-ior of blood glucose management of the women with GDM was negatively correlated with the levels of their FPG,2 hPG and HbAlc,and was positively correlated with the levels of their neonatal FPG and 2 hPG at 12h and 24h after birth.The levels of FPG,2hPG and HbAlc of the women with GDM were negatively correlated with their neonatal FPG and 2 hPG at 12h and 24h after birth(all P<0.05).Multivariate logistic regression analysis showed that the low education level and the natural pregnancy of the women with GDM were the influencing factors of their decision-making behavior of blood glucose management(P<0.05).Conclusion:The decision-making behavior of blood glucose man-agement,the maternal blood glucose level and the neonatal blood glucose level of the pregnant women with GDM are closely related.The influencing factors of the decision-making behavior of blood glucose management of the pregnant women with GDM should be paid attention to in clinic,and the publicity and the intervention on the decision-making behavior of blood glucose management of the women should be strengthen.

Gestational diabetes mellitusDecision-making behavior of blood glucose managementBlood glucose con-trolNeonatal blood glucose levelCorrelationInfluence factor

赵昭、尤香菊、杨涵迪

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首都医科大学附属北京友谊医院(100050)

妊娠期糖尿病 血糖管理决策行为 血糖控制 新生儿血糖水平 相关性 影响因素

2024

中国计划生育学杂志
国家人口计生委科学技术研究所

中国计划生育学杂志

CSTPCD
影响因子:1.759
ISSN:1004-8189
年,卷(期):2024.32(6)