个体化饮食管理对妊娠期糖尿病孕妇疾病认知度及妊娠结局的影响研究

目的探讨个体化饮食管理对妊娠期糖尿病孕妇疾病认知度及妊娠结局的影响。方法选取2010年8月-2013年5月在本院进行个体化饮食管理干预的87例妊娠期糖尿病孕妇作为观察组,同期仅进行1次饮食干预的87例妊娠期糖尿病孕妇作为对照组,比较两组干预前后的疾病认知度及孕产妇、新生儿不良情况发生率,并比较观察组中不同干预时间的孕产妇、新生儿不良情况发生率。结果观察组干预后1周及分娩前的疾病认知度显著高于对照组,差异有统计学意义（P〈0.05）。观察组产妇和新生儿的不良情况发生率显著低于对照组,差异有统计学意义（P〈0.05）。观察组中不同干预时间的孕产妇和新生儿不良情况发生率比较,差异有统计学意义（P〈0.05）。结论个体化饮食管理在改善妊娠期糖尿病孕妇对疾病认知度及妊娠结局中发挥着积极的作用,越早干预,效果越明显。

Influence study on the individual diet management for the disease cognition degree and pregnancy outcome of pregnant women with gestational diabetes mellitus

Objective To study the influence of individual diet management for the disease cognition degree and pregnancy outcome of pregnant women with gestational diabetes mellitus. Methods 87 pregnant women with gestational diabetes mellitus intervened with individual diet management from August 2010 to May 2013 in our hospital were selected as observation group,87 pregnant women with gestational diabetes mellitus intervened with only one dietary intervention were selected as the control group.The disease cognition degree,the incidence of adverse conditions of pregnant women and neonatus before and after the intervention in two groups was compared,and the incidence of adverse conditions of pregnant women and neonatus intervened at different time in the observation group was compared. Results The disease cognition degree after the intervention 1 week and delivery of the observation group was higher than that of the control group,with significant difference（P〈0.05）.The incidence of adverse conditions of pregnant women and neonatus in the observation group was lower than that in the control group,with significant difference（P〈0.05）.The incidence of adverse conditions of pregnant women and neonatus at different time in the observation group,there was statistically significant（P〈0.05）. Conclusion The individual diet management plays active role in improving the disease cognition degree and pregnancy outcome of pregnant women with gestational diabetes mellitus,and the sooner intervene the more obvious effect will be gotten.