孕期个体化营养指导与常规健康指导对妊娠糖尿病孕妇影响比较.docVIP

孕期个体化营养指导与常规健康指导对妊娠糖尿病孕妇影响比较 　　[摘要] 目的 探讨孕期个体化营养指导与常规健康指导对妊娠糖尿病孕妇的影响。 方法 选取我院2012年6月～2015年6月400例确诊妊娠糖尿病孕妇进行干预研究，根据护理方法不同分为试验组和对照组各200例，对照组采用常规健康指导进行护理干预，试验组在对照组的基础上进行孕期个体化营养指导，干预至生产，记录患者的孕前、孕期血压、身高、体重，计算体重指数、OGTT结果、血红蛋白值等生化指标，观察两组患者的孕期体重和围产结局。 结果 试验组的平均体重指数增长明显低于对照组，差异有统计学意义（P0.05）；两组干预后的空腹血糖、餐后2 h血糖和糖化血红蛋白均明显优于干预前，差异有统计学意义（P0.05）；而且干预后试验组的空腹血糖、餐后2 h血糖和糖化血红蛋白均明显优于对照组，差异有统计学意义（P0.05）；试验组干预后的血脂水平明显优于对照组，差异有统计学意义（P0.05）；试验组的并发症发生率和不良妊娠结局发生率明显低于对照组，差异有统计学意义（P0.05）。 结论 对妊娠糖尿病孕妇进行孕期个体化营养指导可以很好地控制血糖水平，减少体重增加、并发症和不良妊娠结局的发生。 　　[关键词] 孕期个体化营养指导；常规健康指导；妊娠糖尿病孕妇；妊娠结局 　　[中图分类号] R714 [文献标识码] B [文章编号] 1673-9701（2016）12-0039-04 　　Effect of individualized nutritional guidance during pregnancy and regular health guiding on the pregnant women with gestational diabetes 　　WANG Yingfen1 WANG Gouyun2 XIE Minhui2 GE Liya2 　　1.Department of Obstetrics， Maternal and Child Health Hospital of Ninghai County in Zhejiang Province， Ninghai 315600， China； 2.Child Care Health Education Section， Maternal and Child Health Hospital of Ninghai County in Zhejiang Province， Ninghai 315600， China 　　[Abstract] Objective To study the individualized nutritional guidance during pregnancy and regular health guidance effect on the pregnant women with gestational diabetes. Methods From June 2012 to June 2015， a total of 400 cases of confirmed pregnant women with gestational diabetes were study， According to the different nursing method， divided into experimental group and the control group（n=200）， the control group used conventional nursing of health guidance for the patients， the experimental group on the basis of the control group gave individualized nutritional guidance during pregnancy， the intervention to the production， recorded the patients pregnancy， pregnancy， height， weight， blood pressure calculating body mass index， the result of OGTT， hemoglobin value， and other biochemical indicators， observed the pregnancy weight and perinatal of two groups patients. Results The average weight of index of ex