围产保健门诊个体化营养指导在妊娠期糖尿病孕妇中的应用价值分析

Application value analysis of individualized nutrition guidance in perinatal health care clinic in pregnant women with gestational diabetes

目的:探讨围产保健门诊个体化营养指导在妊娠期糖尿病(GDM)孕妇中的应用价值。方法:2015年1月-2019年12月收治GDM孕妇815例,分为两组。观察组予以围产保健门诊个体化营养指导;对照组予以常规指导。比较两组孕妇血糖水平及不良母婴结局发生率。结果:观察组护理2个月后空腹血糖(FBG)、餐后2 h血糖(PBG)及糖化血红蛋白(HbA_(1c))水平均低于对照组,差异有统计学意义(P<0.05);观察组不良母婴结局发生率低于对照组,差异有统计学意义(P<0.05)。结论:GDM孕妇采用围产保健门诊个体化营养指导的效果良好,可有效改善血糖水平,减少不良母婴结局的发生。

Objective:To discuss the application value of individualized nutrition guidance in perinatal health care clinic in pregnant women with gestational diabetes mellitus(GDM).Methods:From January 2015 to December 2019,815 cases of pregnant women with GDM were enrolled,they were divided into two groups.The observation group was given individualized nutrition guidance in perinatal health care clinic.The control group was given conventional guidance.The blood glucose level and the incidence of adverse maternal and infant outcomes were compared between the two groups.Results:After 2 months of guidance,the levels of fasting blood glucose(FBG),2 h postprandial blood glucose(PBG)and glycosylated hemoglobin(HbA1c)in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).The incidence of adverse maternal and infant outcomes in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion:The effect of individualized nutrition guidance in perinatal health care clinics for pregnant women with GDM is good,which can effectively improve blood sugar levels and reduce the occurrence of adverse maternal and infant outcomes.