数字健康个性化营养管理对妊娠期糖尿病孕妇妊娠结局的影响  

Effect of electronic health management and individualized nutrition management on pregnancy outcome of pregnant women with gestational diabetes mellitus

作　　者：尹恒 秦棋 YIN Heng;QIN Qi(Department of Obstetrics,Maternal and Child Hospital of Hubei Province,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430070;School of Medicine,Yangtze University,Jingzhou 434023,Hubei,China)

机构地区：[1]华中科技大学同济医学院附属湖北妇幼保健院,湖北武汉430070 [2]长江大学医学院,湖北荆州434023

出　　处：《川北医学院学报》2021年第8期982-985,共4页Journal of North Sichuan Medical College

基　　金：湖北省卫生计生委联合基金立项项目(WJ2018H0139)。

摘　　要：目的:探讨通过数字健康管理平台进行的个性化饮食指导和营养管理对妊娠期糖尿病孕妇妊娠结局的影响。方法:将120例妊娠期糖尿病孕妇分为干预组和对照组,每组各60例。对照组采取常规护理管理措施,观察组在对照组的基础上加用数字健康个性化营养管理。比较两组孕妇孕期增重、产前血糖和血脂变化情况、母婴结局。结果:干预组孕妇孕期增重、产前空腹血糖(FBG)、产前餐后2 h血糖(2 h PBG)、孕期胰岛素使用率均低于对照组(P<0.05);干预组孕妇剖宫产、早产发生率均低于对照组(P<0.05);干预组分娩孕周大于对照组(P<0.05),但胎盘重量、新生儿体重、巨大儿发生率、新生儿低血糖发生率均低于对照组(P<0.05)。结论:数字健康个性化营养管理有利于妊娠期糖尿病孕妇体重的合理增长,可有效控制血糖水平,降低母婴结局不良的发生率,改善预后。Objective:To investigate the effect of electronic health management and individualized nutrition managementon weight and pregnancy outcome of pregnant women with gestational diabetes mellitus.Methods:120 cases of gestational diabetes mellitus elderly pregnant women were selected as the research objects.They were divided into intervention group and control group,60 cases in each group.The control group took routine nursing management measures,the observation group took digital health personalized nutrition management on the basis of the control group.The weight gain during pregnancy,the changes of blood glucose and lipid before delivery and the maternal and infant outcomes were compared between the two groups.Results:The pregnant weight gain,prenatal fasting blood glucose(FBG),2 h postprandial blood glucose(2 h PBG)and insulin use rate in the intervention group were lower than those in the control group(P<0.05).The incidence of cesarean section and premature birth in the intervention group was lower than that in the control group(P<0.05).The gestational age of the intervention group was higher than that of the control group(P<0.05),and the placental weight,neonatal weight,macrosomia rate and neonatal hypoglycemia rate of the intervention group were lower than those of the control group(P<0.05).Conclusion:Individualized diet guidance and nutrition management are conducive to the reasonable weight growth of pregnant women with gestational diabetes mellitus,and can effectively control the blood glucose level,improve the maternal and infant outcome,and improve the prognosis.

关 键 词：妊娠期糖尿病 数字健康个性化 饮食指导 营养管理 体重 妊娠结局 

分 类 号：R714.256[医药卫生—妇产科学] R587.1[医药卫生—临床医学]