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目的:探讨规范化生活管理对农村妊娠期糖尿病患者的影响。方法:将2014年1月-2016年6月武义县妇幼保健院收治的100例农村妊娠期糖尿病患者随机分为对照组(50例)与观察组(50例),对照组患者在治疗过程中仅接受常规指导,观察组患者在治疗过程中接受常规指导及规范化生活管理,现对比分析两组患者的血糖控制效果及妊娠结局。结果:(1)入组时,两组患者空腹血糖(FPG,t=0.548 6,P=0.548 6)、餐后2h血糖(2h-PBG,t=0.5486,P=0.548 6)相比差异无统计学意义;分娩前,观察组FPG(t=7.485 3,P=0.0000)、2h-PBG(t=5.341 0,P=0.0000)显著低于对照组,差异有统计学意义。(2)入组后,观察组患者胰岛素使用率显著低于对照组,差异有统计学意义(χ~2=5.911 3,P=0.016 7)。(3)对妊娠结局进行分析,观察组巨大儿(χ~2=4.000 0,P=0.046 6)、早产儿(χ~2=5.005 1,P=0.025 3)发生率显著低于对照组,差异有统计学意义,两组之间新生儿低血糖(χ~2=3.409 1,P=0.069 1)、新生儿呼吸窘迫综合征(NRDS,χ~2=0.510 2,P=0.482 7)发生率相比差异无统计学意义(P>0.05)。结论:农村妊娠期糖尿病患者接受规范化生活管理具有血糖控制效果好、胰岛素使用率低等优点,从而使妊娠结局得到改善。
Objective: To explore the impact of standardized life management on rural gestational diabetes patients. Methods: One hundred cases of rural gestational diabetes mellitus admitted to Wuyi Maternal and Child Health Hospital from January 2014 to June 2016 were randomly divided into control group (50 cases) and observation group (50 cases). Patients in the control group were treated during the treatment Only accept the conventional guidance, observation group patients in the course of treatment to accept regular guidance and standardized life management, are now compared between the two groups of patients with glycemic control and pregnancy outcomes. Results: (1) The difference of fasting blood glucose (FPG, t = 0.548 6, P = 0.548 6) and 2h postprandial blood glucose (2h-PBG, t = 0.5486, P = 0.548 6) Statistical significance; before delivery, the observation group FPG (t = 7.485 3, P = 0.0000), 2h-PBG (t = 5.341 0, P = 0.0000) was significantly lower than the control group, the difference was statistically significant. (2) The insulin utilization rate in the observation group was significantly lower than that in the control group after enrollment (χ ~ 2 = 5.911 3, P = 0.016 7). (3) The pregnancy outcome was analyzed. The incidence of preterm infants (χ ~ 2 = 5.005 1, P = 0.025 3) in the observation group was significantly lower than that in the control group (χ ~ 2 = 4.000 0, P = 0.046 6) The difference was statistically significant. Neonatal hypoglycemia (χ ~ 2 = 3.409 1, P = 0.069 1) and neonatal respiratory distress syndrome (NRDS, χ ~ 2 = 0.510 2, P = 0.482 7) The difference was not statistically significant (P> 0.05). Conclusion: The standardization of life management in patients with gestational diabetes mellitus in rural areas has the advantages of good blood sugar control effect and low insulin utilization rate, thus improving the pregnancy outcome.