妊娠期糖尿病孕妇血糖和体重控制情况研究

目的探讨系统化血糖及体重控制对妊娠期糖尿病孕妇妊娠结局的影响。方法选择2018年1月-2019年1月中山大学附属第三医院粤东医院收治的100例妊娠期糖尿病孕妇作为研究对象,按护理方式的不同分为观察组和对照组各50例。对照组接受常规治疗及饮食指导干预,观察组在对照组基础上进行系统化血糖和体重控制干预。比较两组孕妇餐前空腹血糖、体重控制情况及母婴并发症发生情况。结果观察组孕妇的血糖及体重控制情况优于对照组,且观察组孕妇及围生儿并发症的发生率低于对照组,差异均有统计学意义(P<0.05)。结论接受系统化血糖及体重控制的妊娠期糖尿病孕妇取得的效果较好,其血糖和体重指数控制较好,母婴并发症少,具有临床推广价值。

Study on blood glucose and body weight control situation of pregnant women with gestational diabetes mellitus

Objective To explore the effect of systematic blood glucose and body weight control on pregnancy outcome of pregnant women with gestational diabetes mellitus. Methods From January 2018 to January 2019,100 pregnant women with gestational diabetes mellitus admitted to East Guangdong Hospital,Third Affiliated Hospital of Sun Yat-sen University,were selected as the study objects. According to the different nursing methods,they were divided into the observation group and the control group of 50 cases each. The control group received routine treatment and diet guidance intervention,and the observation group received systematic intervention of blood glucose and body weight control on the basis of the control group.The fasting blood glucose,body weight control and complications of maternal and infant between the two groups were compared. Results The control of blood glucose and body weight in the observation group were better than those in the control group,and the incidence of complications of maternal and infant in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05). Conclusion Pregnant women with gestational diabetes who received systematic blood glucose and body weight control achieved better results. Their blood glucose and body mass index were well controlled,and the complications of mothers and infants were less,which had clinical promotion value.