综合营养治疗+健康教育对妊娠期糖尿病患者的血糖控制和产后母婴的影响

目的探讨综合营养治疗联合健康教育对妊娠期糖尿病(GDM)患者的血糖控制和产后母婴的影响。方法该院于2019年1—12月间选取76例GDM患者,将其按照随机数字表法分为两组,每组38例,对照组开展传统的健康教育与营养指导,观察组则实施健康教育联合综合营养治疗,对比两组血糖控制情况及产后母婴结局。结果观察组干预后糖化血红蛋白、餐后2 h血糖、空腹血糖与对照组相比均显著偏低,差异有统计学意义(P<0.05)。观察组产妇产后羊水过多、剖宫产率、产后出血、感染发生率较对照组明显偏低,差异有统计学意义(P<0.05)。观察组新生儿巨大儿、低血糖、高胆红素血症发生率相比对照组均显著偏低,差异有统计学意义(P<0.05)。结论针对GDM患者,采取综合营养治疗联合健康教育的干预举措,能有效控制血糖,改善母婴妊娠结局,临床应用价值突出。

The Effect of Comprehensive Nutrition Therapy+Health Education on Blood Glucose Control in Patients with Gestational Diabetes and Postpartum Mother and Infant

Objective To explore the effect of comprehensive nutrition therapy combined with health education on blood glucose control in patients with gestational diabetes mellitus(GDM)and postpartum mothers and babies.Methods From January to December 2019,76 patients with GDM in the hospital were selected and divided into two groups according to the random number table method,each with 38 cases.The control group carried out traditional health education and nutrition Instructed,the observation group implemented health education combined with comprehensive nutritional therapy,and compared the blood glucose control status and postpartum maternal and infant outcomes between the two groups.Results The glycated hemoglobin,2 h postprandial blood glucose and fasting blood glucose of the observation group after intervention were significantly lower than those of the control group,the difference was statistically significant(P<0.05).The incidence of postpartum amniotic fluid,cesarean section,postpartum hemorrhage and infection in the observation group was significantly lower than that of the control group,the difference was statistically significant(P<0.05).The incidence of neonatal macrosomia,hypoglycemia,and hyperbilirubinemia in the observation group were significantly lower than those in the control group,the difference was statistically significant(P<0.05).Conclusion For patients with GDM,comprehensive nutritional therapy combined with health education interventions can effectively control blood glucose,improve maternal and infant pregnancy outcomes,and have outstanding clinical application value.