Perinatal management of a patient with type 2 diabetic retinopathy and chronic hypertension during pregnancy
一例2型糖尿病视网膜病变合并妊娠并发慢性高血压患者的围生育期管理

摘要

总结1例2型糖尿病视网膜病变合并妊娠并发慢性高血压患者的围生育期管理经过。管理要点包括：（1）成立围生育期医护一体管理团队，早诊断、早干预、早治疗；（2）胰岛素、二甲双胍控制血糖，拉贝洛尔、硝苯地平控制血压，阿司匹林预防子痫前期，联合生活方式精细化管理；（3）微信助力群线上延续性管理，全程监测，实时调整方案；（4）选择合适分娩时机与方式，产后随访；（5）人文关怀贯穿始终。经过治疗与护理后，患者于34+1周行剖宫产术，术后6d出院。随访3个月，母婴结局良好。

Abstract

This paper summarizes the perinatal management of a patient with type 2 diabetic retinopathy and chronic hypertension during pregnancy. The key points of management include: (1) Establishing a perinatal medical and nursing integrated management team, early diagnosis, early intervention, and early treatment; (2) Insulin and metformin to control blood sugar, labetalol and nifedipine to control blood pressure, aspirin to prevent preeclampsia, and combined lifestyle fine management; (3) Online continuity management through WeChat support group, full-process monitoring, and real-time adjustment of plans; (4) Choosing the appropriate time and method of delivery, and postpartum follow-up; (5) Humanistic care throughout. After treatment and nursing, the patient underwent cesarean section at 34+1 weeks and was discharged 6 days after surgery. Follow-up for 3 months showed good maternal and infant outcomes.