药学服务在妊娠期糖尿病治疗中的临床效果

Clinical effect of pharmaceutical care in the treatment of gestational diabetes mellitus

中文关键词: 妊娠期糖尿病  药学服务  妊娠结局  血糖控制

英文关键词: Gestational diabetes mellitus  Pharmaceutical care  Pregnancy outcome  Blood glucose control

中文摘要:

      目的：探究药学服务在妊娠期糖尿病治疗中的临床效果。方法：选择2018年1月至2019年10月康平县人民医院收治的82例妊娠期糖尿病患者为研究对象，依据随机数字表法，将研究对象分为两组，对照组和研究组（每组41例），对照组给予传统医疗服务干预，研究组在前者基础上开展药学服务，比较两组患者的血糖控制满意情况和母婴结局。结果：研究组患者的血糖控制满意率高于对照组，差异有统计学意义（P＜0.05）；研究组患者的剖宫产率、羊水过多率、胎膜早破率、妊高症率均低于对照组，差异有统计学意义（P＜0.05）；研究组巨大儿、早产、新生儿窒息和新生儿低血糖占比低于对照组，差异有统计学意义（P＜0.05）。结论：针对妊娠期糖尿病患者，药学服务能够为患者提供科学指导，利于血糖控制，并可改善母婴结局，保护母婴安全，值得推荐。

英文摘要:

      Objective: To explore the clinical effect of pharmaceutical care in the treatment of gestational diabetes mellitus. Methods: A total of 82 cases of gestational diabetes mellitus(GDM)in People's Hospital of Kangping County from January 2018 to October 2019 were selected as the research objects. According to the random number table method,the subjects were divided into two groups:the control group and the observation group(41 cases in each group). The control group was given traditional medical service intervention,the observation group carried out pharmaceutical care on the basis of the control group. The satisfaction of blood glucose control and maternal and infant outcomes were compared between the two groups. Results: The satisfaction rate of blood glucose control in the observation group was higher than that in the control group,the difference was statistically significant(P<0.05);the cesarean section rate,amniotic fluid excess rate,premature rupture of membranes rate,pregnancy induced hypertension rate of the observation group were lower than those of the control group,the difference was statistically significant(P<0.05);the proportion of macrosomia,premature delivery,neonatal asphyxia and neonatal hypoglycemia in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05). Conclusion: For patients with gestational diabetes mellitus,pharmaceutical care can provide scientific guidance for patients,facilitate blood glucose control,improve maternal and infant outcomes,and protect maternal and infant safety