产程饮食管理对妊娠糖尿病产妇母儿分娩结局的影响  

The influence of diet management during labor on the maternal and infant outcome of GDM

作　　者：何秀玲[1] 温济英[1] 邹文霞[1] 周立平[1] 黄彩美 茹素容 宋林霞 文雅倩 付雨航 文正霞 HE Xiuling;WEN Jiying;ZOU Wenxia;ZHOU Liping;HUANG Caimei;RU Surong;SONG Linxia;WEN Yaqian;FU Yuhang;WEN Zhengxia

机构地区：[1]广东省妇幼保健院产科,广州市510010

出　　处：《中国护理管理》2022年第3期364-368,共5页Chinese Nursing Management

基　　金：广州市合生元营养与护理研究院“母婴营养与护理研究基金项目”(2017BINCMCF24)。

摘　　要：目的:探讨产程饮食管理对妊娠糖尿病母婴分娩结局的影响。方法:根据妊娠糖尿病和WHO产时管理指南,构建妊娠糖尿病产程饮食管理方案。选取2020年1月—9月在我院产科产检并住院分娩的120名妊娠糖尿病产妇,按照入产房的顺序采用随机数字表法随机分为两组,观察组产妇产程中实施基于能量摄入的妊娠糖尿病饮食管理模式,对照组实行自由进食,记录和分析其分娩相关结局指标。结果:观察组产妇产程中高血糖发生率、胰岛素使用率和新生儿低血糖的发生率显著低于对照组(P<0.05)。观察组的第一产程时间、活跃期时间和第二产程时间均短于对照组,差异均有统计学意义(P<0.05)。结论:适宜的能量摄入模式有利于维持妊娠糖尿病产妇产程中的血糖在适宜的水平,以促进其产程的进展,并减少新生儿低血糖的发生。Objective:To explore the effect of different diet management patterns during labor on the outcome of maternal and infant delivery with gestational diabetes mellitus.Methods:Based on the guidelines for the diagnosis,treatment and nursing practice of gestational diabetes mellitus and the WHO’s related guidelines for improving delivery experience,a dietary management plan for the labor process of gestational diabetes mellitus was constructed.From January 2020 to September 2020,according to the order of the pregnant women entering in the delivery room,a total of 120 pregnant women with gestational diabetes mellitus were randomly divided into two groups based on the random number table.The observation group implemented the diet management mode of gestational diabetes mellitus during labor,and the control group implemented the management mode of free eating.Their delivery-related outcome indicators were collected and investigated.Results:The incidence of hyperglycemia,insulin usage and neonatal hypoglycemia in the observation group were significantly lower than those in the control group(P<0.05).During the labor process,the time of the first stage,the active stage and the second stage of labor of the observation group were significantly shorter than those of the control group(P<0.05).Conclusion:Appropriate liquid and semi-liquid diet for gestational diabetes mellitus is beneficial to maintain the blood glucose in an appropriate range in the delivery process of gestational diabetes mellitus,and reduce the occurrence of neonatal hypoglycemia.

关 键 词：妊娠糖尿病 饮食管理 产程 分娩结局 

分 类 号：R47[医药卫生—护理学] R197[医药卫生—临床医学]