生活方式干预对妊娠糖尿病病人的血糖控制和妊娠结局的影响探讨

Investigation of the Effect of Lifestyle Intervention on the Glycemic Control and Pregnancy Outcome of Patients with Gestational Diabetes

目的研究分析生活方式干预对妊娠糖尿病患者的血糖控制和妊娠结局的影响。方法选取该院2013年5月—2014年5月所收治的妊娠糖尿病患者130例作为研究对象,按随机表法将其分成两组,即观察组与对照组,对照组患者采取常规护理措施,在此基础之上,对观察组患者实施生活方式干预措施,并对两组患者的血糖控制及其妊娠结局进行对比与观察。结果干预前,观察组与对照组在FPG、2hPG以及HbAlc等的比较上无明显差异;干预后,观察组患者FPG、2hPG以及HbAlc等指标明显低于对照组,差异显著,具有统计学意义(P<0.05)。结论在常规护理的基础之上,对妊娠期糖尿病患者实施生活方式干预,能够有效降低患者的血糖水平,降低并发症的发生率,值得在临床上大力推广与使用。

Objective To study the effect of lifestyle intervention on the glycemic control and pregnancy outcome of patients with gestational diabetes. Methods 130 cases with gestational diabetes admitted in our hospital from May 2013 to May 2014 were se- lected as the subjects, and randomly divided into two groups, the observation group and control group. The control group were treated with the routine nursing measures, while the observation group were treated with lifestyle intervention measures on the ba- sis of the routine nursing measures. The glycaemic control and pregnancy outcome were observed and compared between the two groups. Results Before intervention, there were no significant differences in FPG, 2hPG and HbAlc between the observation group and the control group; after intervention, the levels of FPG, 2hPG and HbAlc were significantly lower than those of the control group, the differences were statistical significant （P〈0.05）. Conclusion For patients with gestational diabetes, lifestyle intervention on the basis of routine care can effectively reduce the blood glucose level and the incidence of complications, which is worthy of extensive clinical promotion and application.