围生期健康教育对妊娠期糖尿病的防治作用框架思路构建

The framework of perinatal health education in the prevention and treatment of gestational diabetes mellitus

目的分析妊娠期糖尿病(GDM)产妇加强围生期健康教育的临床价值。方法选取102例GDM产妇,按照随机分组原则将其分为两组,每组51例。对照组产妇接受常规护理,观察组在此基础上加强围生期健康教育。比较两组的血糖水平[餐后2h血糖(2hPG)、空腹血糖(FPG)]及不良妊娠结局情况。结果干预前,两组FPG、2hPG水平比较,差异无统计学意义(P>0.05);干预后,观察组的FPG、2hPG水平均低于对照组,差异有统计学意义(P<0.05)。观察组的不良妊娠结局发生率为5.88%,明显低于对照组的19.61%,差异有统计学意义(P<0.05)。结论对GDM产妇加强围生期健康教育能够提高其血糖控制效果,减少不良妊娠结局,具有推广价值。

Objective To analyze the clinical value of strengthening perinatal health education for pregnant women with gestational diabetes mellitus(GDM).Methods 102 women with GDM were selected and divided into two groups according to the principle of random grouping,with 51 cases in each group.The control group received routine nursing,and the observation group strengthened perinatal health education on this basis.Blood glucose levels[2 h postprandial blood glucose(2 h PG),fasting blood glucose(FPG)]and adverse pregnancy outcomes were compared between the two groups.Results Before intervention,there was no significant diference in FPG and 2 h PG levels between the two groups(P>0.05).After intervention,the levels of FPG and 2 h PG in the observation group were lower than those in the control group,and the difference was statistically significant(P<0.05).The incidence of adverse pregnancy outcome in the observation group was 5.88%,which was significantly lower than 19.61%in the control group,and the difference was statistically significant(P<0.05).Conclusion Strengthening perinatal health education for GDM parturients can improve their blood sugar control effect and reduce adverse pregnancy outcomes,which has the value of promotion.