基于远程医疗的妊娠期糖尿病管理模式对血糖控制及妊娠结局的影响卢燕群黄华生李静张继红张春

往期阅览 · All Issues-> 2025年 · 2025

中外临床医学，2025年，第1卷，第2期，第78-82页，pISSN 3080-7611、eISSN 3080-762X

发布者：Quest Press

发布日期：2025/10/19

doi 10.12479/questpress-zwlcyx.20250219

Open Access

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基于远程医疗的妊娠期糖尿病管理模式对血糖控制及妊娠结局的影响

卢燕群,黄华生,李静,张继红,张春

广西壮族自治区人民医院，广西南宁，530021

摘要:目的探究基于远程医疗的妊娠期糖尿病管理模式对血糖控制及妊娠结局的影响。方法选取本院2023 年6 月至2025 年2 月收治的100 例妊娠期糖尿病患者，按照管理方式差异分为对照组（常规管理）和实验组（常规管理+ 远程医疗管理），各50 例。干预后对比两组血糖控制指标（包括空腹血糖、餐后2 小时血糖、糖化血红蛋白）和妊娠结局指标（包括早产率、剖宫产率、巨大儿发生率）。结果经干预后，实验组血糖控制水平和妊娠结局均显著优于对照组，P＜0.05。结论对于妊娠期糖尿病患者，基于远程医疗的管理模式能有效改善血糖控制，优化妊娠结局。

关健词：远程医疗；糖尿病管理；血糖控制；妊娠结局

Effect of gestational diabetes management model based on telemedicine on blood glucose control and pregnancy outcome

Yanqun Lu,Huasheng Huang,Jing Li,Jihong Zhang,Chun Zhang

Guangxi Zhuang Autonomous Region People’s Hospital Nanning, Guangxi 530021 , China

Abstract: Objective To investigate the impact of remote medical management models on glycemic control and pregnancy outcomesin gestational diabetes mellitus (GDM). Methods A total of 100 GDM patients admitted to our hospital between June2023 and February 2025 were enrolled， divided into two groups (control group: conventional management； experimental group:conventional management + remote medical management)， with 50 cases in each group. Post-intervention comparisons wereconducted on glycemic control indicators (including fasting blood glucose， 2-hour postprandial blood glucose， and glycatedhemoglobin) and pregnancy outcome indicators (including preterm birth rate， cesarean section rate， and incidence of macrosomia).Results After intervention， the experimental group demonstrated significantly better glycemic control levels and pregnancyoutcomes compared to the control group， P <0.05. Conclusion Remote medical management models can effectivelyimprove glycemic control and optimize pregnancy outcomes for GDM patients.

Keywords : telemedicine； diabetes management； blood glucose control； pregnancy outcome

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