健康教育联合饮食管理改善妊娠期糖尿病孕妇妊娠结局效果分析

Effect of health education combined with diet management on improving pregnancy outcome of pregnant women with gestational diabetes mellitus

目的:探析系统健康教育和饮食管理对妊娠期糖尿病(GDM)孕妇妊娠结局的影响。方法:选取2017年3月—2018年3月收治的104例GDM孕妇,通过数字表法随机分成观察组和对照组,每组52例;两组均给予对症治疗和干预,对照组开展常规护理干预,观察组同时开展系统健康教育和饮食管理。护理4周后,评测两组孕妇血糖水平,并比较两组孕妇妊娠结局。结果:护理4周后,两组孕妇的空腹血糖(GLU)、餐后2h血糖(2hPG)均有改善,且观察组优于对照组(P<0.05);观察组不良妊娠率低于对照组,两组比较,差异有统计意义(P<0.05)。结论:对GDM孕妇开展系统健康教育和饮食管理,可有助于降低和控制孕妇血糖,降低不良妊娠结局发生率,临床意义重大。

Objective:The influence of system health education and diet management on the pregnancy outcome of pregnant women with gestational diabetes mellitus(GDM)were analyzed.Methods:All 104 GDM pregnant women who were treated in hospital and obstetrics and gynecology March 2018 to March 2017 were selected as the observation objects and were randomly divided into the observation group and the control group by the digital table method,each with 52 cases.The two groups were treated with symptomatic treatment and intervention,the control group carried out routine nursing intervention,the observation group also carried out systematic health education and diet management.After 4 weeks of nursing,the blood glucose level of two groups of pregnant women was evaluated,and two groups of pregnant women′s pregnancy outcomes were mastered.Results:After 4 weeks of nursing,fasting blood glucose(GLU)and postprandial 2h blood glucose(2 hPG)of two groups of pregnant women were improved,but the observation group was much lower than that of the control group(P<0.05).The adverse preg-nancy rate in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion:Systematic health education and dietary management for GDM pregnant women can help to reduce and control blood glucose and reduce the incidence of adverse pregnancy outcomes.