中医情志调护联合健康教育对妊娠糖尿病患者血糖及妊娠结局的影响

Effects of TCM Sentiment Conditioning and Health Education on Blood Glucose and Pregnancy Outcome in Patients with Gestational Diabetes

目的探讨分析中医情志调护联合健康教育对妊娠糖尿病患者血糖及妊娠结局的影响。方法选择2018年5月—2019年5月在该院就诊的64例妊娠糖尿病患者为研究对象,以随机数字表法将其分为两组,每组32例,其中,对照组予以常规产科护理,观察组在常规护理的基础上予以中医情志调护联合健康教育,对比两组患者妊娠期血糖控制情况以及其妊娠结局。结果护理干预后,两组的空腹血糖、餐后2 h血糖、夜间睡前血糖水平均较护理前有改善,且观察组的上述各项血糖指标改善状况均优于对照组(P<0.05)。观察组剖宫产率显著低于对照组,且早产、巨大儿发生率也较对照组明显降低(P<0.05)。结论对妊娠糖尿病患者实施中医情志调护和健康教育能够有效控制血糖稳定,显著减少不良妊娠结局发生,对于保障母婴健康安全具有积极的作用。

Objective To explore and analyze the effect of traditional Chinese medicine emotional care and health education on blood glucose and pregnancy outcome in patients with gestational diabetes.Methods 64 cases of gestational diabetes patients who were treated in the hospital from May 2018 to May 2019 were selected as the research object,and they were divided into 2 groups by random number table method,each group had 32 cases,and the control group was given routine obstetrics nursing,the observation group received traditional Chinese medicine emotional care and joint health education on the basis of routine nursing,and compared the blood glucose control during pregnancy and their pregnancy outcomes between the two groups.Results After nursing intervention,the fasting blood glucose,2 h postprandial blood glucose,and nighttime blood glucose levels of the two groups were improved compared with those before nursing,and the improvement of the above blood glucose indexes in the observation group was better than the control group(P<0.05).The cesarean section rate in the observation group was significantly lower than that in the control group,and the incidence of premature delivery and giant infants was also significantly lower than that in the control group(P<0.05).Conclusion Carrying out TCM emotional care and health education for patients with gestational diabetes can effectively control blood glucose stability,significantly reduce the occurrence of adverse pregnancy outcomes,and play a positive role in ensuring the health and safety of mothers and children.