妊娠糖尿病孕妇体质量指数管理及血糖控制对减少母婴并发症的影响

Influence of body mass index and blood glucose control in pregnant women with gestational diabetes mellitus on reducing maternal and neonatal complications

目的:探讨妊娠糖尿病孕妇体质量指数管理及血糖控制对减少母婴并发症的影响。方法:选取2015年3月至2016年3月收治的妊娠糖尿病孕妇126例随机分为观察组、对照组,各63例。对照组给予常规护理干预,观察组在常规干预基础上进行体质量指数管理及血糖控制干预,比较两组母婴并发症及相关结局情况。结果:两组患者在早产、产后出血、产褥感染、低体重儿、巨大儿发生率方面相比差异无统计学意义(P>0.05);观察组妊娠高血压、剖宫产、新生儿出生5 min Apgar评分≤5分发生率低于对照组(P<0.05);观察组患者孕中期体重增长、孕晚期体重增长、空腹血糖、糖化血红蛋白含量控制情况均优于对照组(P<0.05);观察组孕产妇血糖监测、按时服药、合理饮食、按时复诊情况也高于对照组(P<0.05)。结论:妊娠糖尿病孕妇在常规护理干预基础上给予体质量指数管理及血糖控制,可降低母婴并发症发生率,对于合理控制血糖,提高遵医行为具有重要临床价值。

Objective：To probe into the influence of body mass index and blood glucose control in pregnant women with gestational diabetes mellitus on reducing maternal and neonatal complications. Methods ：126 pregnant women with gestational diabetes hospitalized from March 2015 to March 2016 were chosen and randomly divided into the observation group and the control group, with 63 cases in each group. The control group were given routine nursing intervention while the observation group were treated with combination of body mass index and blood glucose control on the basis of routine intervention, with the complications and outcomes compared. Resalts：There was no significant difference in the incidence of premature delivery, postpartum hemorrhage, puerperal infection, low birth weight and macrosomia between the two groups （ P 〉 0.05） ; the hypertension of pregnancy, cesarean section, the incidence rate of neonatal 5minApgar score less than 5 points in the observation group were significantly lower than those in the control group （ P 〈 0.05） ; the weight gain in the second and the third trimesters of pregnancy, fasting blood glucose and glycosylated hemoglobin content control in the observation group were significantly better than those in the control group （ P 〈0.05） ; The maternal blood glucose monitoring, medication time, reasonable diet, the rate of return on time in the observation group were significantly higher than those in the control group （ P 〈0.05）. Conclusion：Bedy mass index and blood glucose control on the basis of conventional intervention in treating pregnant women with gestational diabetes can significantly reduce the incidence of maternal complications and has important clinical value in the reasonable control of blood sugar and the improvement of compliance behavior.