中医饮食运动管理联合中医情志护理对妊娠糖尿病患者的影响分析

目的：探析中医饮食运动管理联合中医情志护理在妊娠糖尿病患者孕期管理中的应用效果。方法：选取2020年9月至2022年8月定期产检的妊娠糖尿病孕妇95例为研究对象，根据干预方法不同分为观察组50例和对照组45例。对照组应用常规孕期管理联合中医情志护理干预，观察组在对照组基础上给予中医饮食运动管理干预。比较两组血清胱抑素C(Cys-C)、同型半胱氨酸（Hcy）水平、血糖指标、妊娠结局及负性情绪评分情况。结果：干预后两组Cys-C、Hcy水平均低于干预前，且观察组低于对照组（P<0.05）；干预后两组空腹血糖（FPG）、餐后2 h血糖（2 h PG）水平均低于干预前，且观察组低于对照组（P<0.05）；观察组自然分娩率高于对照组，剖宫产率、产后出血率、巨大儿率、新生儿窒息率均低于对照组，差异有统计学意义（P<0.05）；干预后观察组汉密尔顿焦虑量表（HAMA）、汉密尔顿抑郁量表（HAMD）评分均低于对照组（P<0.05）。结论：对妊娠糖尿病患者应用中医饮食运动管理联合中医情志护理干预能有效控制Cys-C、Hcy水平，改善不良情绪，更好地控制血糖水平，改善妊娠结局。

Analysis of the influence of traditional Chinese medicine diet and exercise management combined with traditional Chinese medicine emotional nursing on gestational diabetes patients

Objective: To explore the application effect of traditional Chinese medicine diet and exercise management combined with traditional chinese medicine emotional nursing in pregnancy management of gestational diabetes patients. Method: A total of 95 pregnant women with gestational diabetes who underwent regular antenatal check-up in our center from september 2020 to august 2022 were selected for the study. They were divided into observation group and control group according to different nursing methods, including 50 in the observation group and 45 in the control group. The control group was treated with conventional pregnancy management combined with traditional chinese emotional nursing. The observation group was given chinese medicine diet and exercise management combined with chinese medicine emotional nursing during pregnancy. The levels of serum cystatin C (Cys-C), homocysteine (Hcy), blood glucose indexes and pregnancy outcomes of pregnant women before and after gestational diabetes care in the two groups were compared, and the negative emotional scores before and after care were compared between the two groups. Results: After intervention, the above indexes of Cys-C and Hcy in both groups were significantly lower than before intervention, and the observation group was significantly lower than the control group (P < 0.05). There was no significant difference in FPG and 2hPG indexes between the two groups before nursing (P > 0.05). After nursing, FPG and 2hPG indexes of the two groups were significantly lower than those of the control group, and the final result of the observation group was lower than that of the control group (P < 0.05), indicating that the natural delivery rate of the observation group was higher than that of the control group. The rates of cesarean section, postpartum hemorrhage, macrosomia and neonatal asphyxia were lower than those of the control group, and the differences between groups were statistically significant (P < 0.05). After intervention, HAMA and HAMD scores in the observation group were significantly higher than those in the control group (P < 0.05). Conclusion: The application of traditional Chinese medicine diet and exercise management combined with traditional chinese medicine emotional care in pregnancy management for pregnant women with gestational diabetes can achieve significant results, which can effectively improve pregnant women"s cognition of disease-related knowledge and enhance their self-care ability, so as to control blood sugar more reasonably, which has a favorable impact on improving pregnancy outcomes, and is worthy of promotion and application.