主管:国家卫生健康委员会
主办:国家卫生健康委医院管理研究所
中国科技核心期刊(中国科技论文统计源期刊)
中国科学引文数据库(CSCD)核心库期刊
《中文核心期刊要目总览》核心期刊

中国护理管理 ›› 2023, Vol. 23 ›› Issue (3): 444-449.doi: 10.3969/j.issn.1672-1756.2023.03.022

• 循证护理 • 上一篇    下一篇

妊娠期糖尿病患者产前血糖管理的证据总结

秦煜 余雨枫 邹子翔 陈旭 冯岑岑 王梅   

  1. 成都中医药大学护理学院,610000 成都市(秦煜,余雨枫,陈旭,冯岑岑,王梅);川北医学院附属三台医院科研科(邹子翔)
  • 出版日期:2023-03-15 发布日期:2023-03-15
  • 通讯作者: 余雨枫,本科,副教授,副院长,E-mail:19902026@cdutcm.edu.cn
  • 作者简介:秦煜,硕士在读,护师
  • 基金资助:
    四川省基层卫生事业发展研究中心青年项目(SWFZ20-Q-049)

Summary of evidence for prenatal blood glucose management in pregnant women with Gestational Diabetes Mellitus

QIN Yu, YU Yufeng, ZOU Zixiang, CHEN Xu, FENG Cencen, WANG Mei   

  1. Nursing School, Chengdu University of Traditional Chinese Medicine, Chengdu, 610000, China
  • Online:2023-03-15 Published:2023-03-15
  • Contact: E-mail:19902026@cdutcm.edu.cn

摘要: 目的:检索并总结妊娠期糖尿病产前血糖管理的相关证据。方法:计算机检索国内外数据库、指南网以及专业协会网站有关妊娠期糖尿病孕妇产前血糖管理的所有证据,检索时间为建库至2022年4月,对纳入文献进行质量评价、证据提取和汇总。结果:共纳入13篇文献,其中临床决策1篇、临床指南6篇、专家共识3篇、证据总结2篇和系统评价1篇。形成评估与筛查、血糖监测、非药物干预、药物治疗、血糖控制目标、系统化管理6个维度共35个条目的循证证据。结论:医护人员应根据妊娠期糖尿病产前血糖管理的临床证据,结合孕妇个体情况和需求提供个性化血糖管理方案,以改善妊娠结局,确保母儿安全。

关键词: 妊娠期糖尿病;血糖管理;产前;证据总结

Abstract: Objective: To summarize the evidence for prenatal glucose management of Gestational Diabetes Mellitus. Methods: All the evidence related to prenatal blood glucose management of Gestational Diabetes Mellitus was retrieved from the databases, guideline networks and professional association websites in Chinese and English from the establishment of database to April 2022 were searched. Quality evaluation, evidence extraction and summary of the included literature were carried out to evaluate the quality and extract evidence. Results: A total of thirteen literatures were included, including one clinical decision, six clinical guidelines, three expert consensus, two evidence summaries and one systematic review. Thirty-five items were formed from six dimensions, including evaluation and screening, blood glucose monitoring, non-pharmacological intervention, pharmacological therapy, glycemic control objectives and systematic management. Conclusion: In order to improve pregnancy outcomes and ensure the safety of mother and child, health care providers should provide personalized blood glucose management programs based on the clinical evidence of prenatal blood glucose management in gestational diabetes mellitus, and combining the individual situation and needs of pregnant women.

Key words: Gestational Diabetes Mellitus; blood glucose management; prenatal; evidence summary

中图分类号:  R47;R197