糖尿病一日门诊营养干预对孕妇血糖控制、母婴结局及新生儿免疫功能的作用

Effect of one day outpatient nutrition intervention for blood glucose management of women with gestational diabetes on their blood glucose control,maternal and infant outcomes,and neonatal immune function

目的:观察糖尿病一日门诊营养干预模式在妊娠期糖尿病患者中的应用效果。方法:选取2016年3月-2018年5月本院接收治疗的妊娠期糖尿病孕妇100例,随机分为对照组和观察组各50例,对照组给予常规健康教育和治疗,观察组在对照组基础上给予糖尿病一日门诊营养干预模式进行血糖管理。观察并比较两组干预前后血糖水平、母婴结局和新生儿免疫功能。结果:干预后观察组空腹血糖和自我血糖监测(MBG)水平低于对照组(P<0.001);两组羊水过多、产后出血和泌尿系统感染发生率无差异(P>0.05);观察组新生儿窒息、新生儿低血糖和高胆红素血症总发生率(0)低于对照组(10.0%)(P<0.05),新生儿IgG、IgA和IgM水平高于对照组(P<0.001)。结论:妊娠糖尿病患者给予糖尿病一日门诊营养干预管理,可有效控制血糖,改善母婴结局和新生儿免疫功能。

Objective:To observe the effect of one day outpatient nutrition intervention for blood glucose management of women with gestational diabetes.Methods:100 pregnant women with gestational diabetes were enrolled and were divided into two groups(50 cases in each group)from March to May 20,2016.The women in the control group were given regular health education and treatment,and the women in the observation group were given one day outpatient nutrition intervention for blood glucose management except regular health education and treatment.The blood glucose levels of women before and after intervention,the maternal and infant outcomes,and the neonatal immune function were observed and compared between the two groups.Results:After intervention,the levels of fasting blood glucose and self-monitoring of blood glucose(MBG)of women in the observation group were significant lower than those of women in the control group(P<0.001).There were no significant difference in the incidence of hydramnios,postpartum hemorrhage,and urinary tract infection(P>0.05).The incidences of neonatal asphyxia and hypoglycemia of the observation group were significant lower than those of the control group(P<0.05).The incidence of neonatal hyperbilirubinemia of the observation group was 0.0%,which was significant lower than that(10.0%)of the control group(P<0.05).The neonatal IgG,IgA and IgM levels in the observation group were significant higher than those in the control group(P<0.001).Conclusion:One day outpatient nutrition intervention for blood glucose management of women with can effectively control their blood sugar level,improve maternal and child outcomes,and enhance neonatal immune function.