早期个体化综合干预对妊娠糖尿病高危孕妇的效果评价

目的探讨早期个体化综合干预对妊娠糖尿病高危孕妇的作用。方法 选取2011年3月至2013年12月产科门诊常规产检的妊娠糖尿病高危孕妇235例为干预组,同期210例妊娠糖尿病高危孕妇作为对照组。干预组进行个体化综合干预,措施包括信息建档、饮食调查、营养宣教、个体化饮食管理、运动指导、体质量管理、定期监测及随访等。对照组仅由产科医师在其孕中期进行1次集体孕期保健教育。结果 实施早期个体化综合干预的孕妇妊娠期并发症(妊娠糖尿病、妊娠高血压等)及围生儿并发症(巨大儿、胎儿生长受限等)的发生率均明显低于对照组(P<0.05)。结论 对妊娠糖尿病高危孕妇的早期个体化综合干预可减少母婴并发症的发生。

Early individualized comprehensive intervention for women with high risk of gestational diabetes millitus

Objective To evaluate the early individualized comprehensive intervention for women at high risk of gestational diabetes mellitus (GDM). Methods Two hundred and thirty five women at high risk of GCM, who underwent routine pregnant check-up in obstetrics department from March 2011 to December 2013, were recruited as intervention group,and 215 pregnant women at high risk of GDM were selected as control group. The pregnant women in intervention group received individualized comprehensive intervention, including information archiving, diet survey, nutrition education, individualized dietary management, exercise guidance, weight management, regular monitoring and follow-up; while the pregnant women in control group only received one session of group education on prenatal care. Results Compared with control group, pregnancy complications (gestational diabetes, gestational hypertension, etc.) and perinatal complications (macrosomia, fetal growth restriction, etc.) were significantly decreased(P<0.05)in women of intervention group. Conclusion Early individualized comprehensive intervention can improve the maternal and fetal outcomes for pregnant women at high risk of gestational diabetes mellitus.