妊娠期糖尿病患者中应用围产保健门诊营养治疗的价值分析  

Value of Outpatient Nutrition in Perinatal Care in Patients with Gestational Diabetes Mellitus

作　　者：梁燕 LIANG Yan(Department of Women's Health,Binhai County Institute of Maternal and Child Health and Family Planning,Yancheng,Jiangsu Province,224500 China)

机构地区：[1]滨海县妇幼保健和计划生育指导所妇女保健科,江苏盐城224500

出　　处：《糖尿病新世界》2023年第17期46-49,共4页Diabetes New World Magazine

摘　　要：目的 探讨妊娠期糖尿病患者中应用围产保健门诊营养治疗的临床价值及对妊娠结局的影响。方法选取2022年1-12月滨海县妇幼保健和计划生育指导所妇女保健科诊治的妊娠期糖尿病患者154例为研究对象。根据建卡顺序排序,1~77号统一作为对照组(77例),实行常规营养治疗,78~154号统一作观察组(77例),实行围产保健门诊营养治疗。比较组间血糖指标(空腹血糖、餐后2 h血糖、糖化血红蛋白)、体质量增长情况及不良妊娠结局(产褥感染、巨大儿、新生儿低血糖、胎儿宫内窘迫)方面的差异性,分析围产保健门诊营养治疗的效果。结果 治疗后,观察组空腹血糖、餐后2 h血糖以及糖化血红蛋白水平均显著低于对照组,差异有统计学意义(P<0.05)。观察组患者体质量增长适宜率高于对照组,增长过度率低于对照组,差异有统计学意义(P<0.05)。观察组不良妊娠结局发生率(7.79%)显著低于对照组(27.27%),差异有统计学意义(χ^(2)=10.105,P<0.05)。结论 妊娠期糖尿病患者围产保健门诊营养治疗的临床效果显著,有助于改善患者血糖水平,避免体质量过度增长,降低不良妊娠结局风险。Objective To investigate the clinical value of perinatal health care outpatient nutrition therapy in patients with gestational diabetes and its influence on pregnancy outcome.Methods One hundred and fifty-four patients with gestational diabetes diagnosed admitted to he Department of Women's Health of Binhai county institute of Maternal and Child Health Care and Family Planning from January to December 2022 were selected as research objects.According to the sequence of building cards,the numbers 1 to 77 were used as the control group(77 cases),and routine nutritional treatment was carried out.Observation group 78 to 154(77 cases)was used for perinatal health care outpa-tient nutrition treatment.Differences in blood glucose indexes(fasting blood glucose,2 h postprandial blood glucose),body mass growth,and adverse pregnancy outcomes(puerperal infection,macrosomia,neonatal hypoglycemia fetal distress)were compared between groups.The effect of outpatient nutrition treatment in perinatal health care was ana-lyzed.Results After treatment,the levels of fasting blood glucose,2 h postprandial blood glucose and HBA1c in the observation group were significantly lower than those in the control group,and the difference was statistically signifi-cant(P<0.05).The suitable rate of body mass increase in observation group was higher than that in control group,and the excessive rate of body mass increase was lower than that in control group,and the difference was statistically significant(P<0.05).The incidence of adverse pregnancy outcome in observation group(7.79%)was significantly lower than that in control group(27.27%),and the difference was statistically significant(χ^(2)=10.105,P<0.05).Conclusion The clinical effect of perinatal health care outpatient nutrition treatment for gestational diabetes mellitus is remark-able,which can help to improve the blood sugar level of patients,avoid excessive increase in body mass,and reduce the risk of adverse pregnancy outcomes.

关 键 词：妊娠期糖尿病 围产保健 门诊 营养治疗 妊娠结局 血糖指标 

分 类 号：R4[医药卫生—临床医学]