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目的:探究妊娠期糖尿病患者的孕期营养指导方法与效果。方法:收集2015年2月-2016年2月我院收治的60例妊娠期糖尿病患者进行研究,随机分为两组,对照组接受常规护理,观察组在此基础上接受孕期营养指导,比较两组妊娠结局。结果:①观察组糖化血红蛋白水平(5.0±1.3)%、空腹血糖水平(6.0±1.1)mmol/L和餐后2h血糖水平(9.0±2.0)mmol/L;对照组糖化血红蛋白水平(6.9±1.9)%、空腹血糖水平(9.6±1.9)mmol/L和餐后2h血糖水平(16.8±2.5)mmol/L,组间差异具统计学意义(P<0.05)。②观察组产后出血、生殖道感染显著低于对照组,组间差异具统计学意义(P<0.05)。③观察组新生儿低血糖、新生儿呼吸窘迫综合征、低体重儿、巨大儿、新生儿窒息、早产、新生儿黄疸等情况显著少于对照组,组间差异均具有统计学意义,(P<0.05)。结论:孕期营养指导在妊娠期糖尿病患者中应用效果显著,值得临床推广。
Objective: To investigate the nutritional guidance and effect during pregnancy in patients with gestational diabetes. Methods: Sixty cases of gestational diabetes mellitus were treated in our hospital from February 2015 to February 2016 and were randomly divided into two groups. The control group received routine nursing. On the basis of this, the observation group received nutrition guidance during pregnancy, Group pregnancy outcome. Results: ① The levels of HbA1c in the control group (5.0 ± 1.3)%, fasting blood glucose (6.0 ± 1.1) mmol / L and postprandial 2h blood glucose (9.0 ± 2.0) mmol / ), Fasting blood glucose (9.6 ± 1.9) mmol / L and postprandial blood glucose 2h (16.8 ± 2.5) mmol / L respectively. There was significant difference between the two groups (P <0.05). ② postpartum hemorrhage observation group, reproductive tract infection was significantly lower than the control group, with statistical significance between groups (P <0.05). ③In the observation group, the incidences of neonatal hypoglycemia, neonatal respiratory distress syndrome, low birth weight, giant macrosomia, neonatal asphyxia, premature birth and neonatal jaundice were significantly less than those in the control group. The differences between the two groups were statistically significant (P <0.05). Conclusion: The nutritional guidance during pregnancy is very effective in gestational diabetes mellitus, which is worthy of clinical promotion.