妊娠糖尿病患者联合运用食物交换份法与血糖生成指数概念健康教育的临床分析

Clinical analyses of the health education on the concept of food exchange portion and glycemic index in the patients with gestational diabetes mellitus

目的探究食物交换份法、血糖生成指数概念健康教育联合运用在妊娠糖尿病患者中的效果。方法选择2018年1月至2019年1月收治的80例妊娠糖尿病患者作为研究对象,根据随机抽签分组原则分为观察组40例和对照组40例,分别采取食物交换份法、血糖生成指数概念健康教育方式、传统食物交换份法方式,将各组指标进行比较。结果观察组餐后2 h血糖为(6.01±0.12)mmol/L、糖化血红蛋白为(5.01±0.25)%以及空腹血糖为(5.01±0.21)mmol/L与对照组比较,差异有统计学意义(P<0.05);观察组血糖控制有效率为95.00%,高于对照组,差异有统计学意义(P<0.05);观察组健康知识掌握评分为(92.11.±1.21)分,高于对照组,差异有统计学意义(P<0.05)。结论通过对妊娠糖尿病患者实施食物交换份法、血糖生成指数概念健康教育联合运用,取得显著的效果。

Objective To explore the effect of health education on the concept of food exchange portion method and glycemic index(GI).Methods A total of 80 patients with gestational diabetes mellitus(GDM)admitted to our hospital from January 2018 to January 2019 were selected as research objects and they were divided into the observation group(n=40)and the control group(n=40)by sortition randomization method.The observation group received food exchange portion and GI-based health education,and the control group received traditional food exchange portion.The indexes of each group were compared.Results The 2-hour postprandial blood glucose(2 hPG),the glycated hemoglobin(GHb)and the fasting blood glucose of the observation group were(6.01±0.12)mmol/L,(5.01±0.25)%and(5.01±0.21)mmol/L,respectively,which were significantly differentes from those of the control group(P<0.05).The effective rate of blood glucose control in the observation group was 95%,higher than that in the control group(P<0.05).The mastering scores of health knowledge of the observation group were(92.11±1.21),higher than those of the control group(P<0.05).Conclusion The combination of food exchange portion and GI-based health education produces great clinical effect in the patients with GDM.