精准协同式营养护理对妊娠期糖尿病者的影响分析  

Analysis of the impact of precise collaborative nutritional nursing on gestational diabetes patients

作　　者：胡艳 詹莉君 HU Yan;ZHAN Lijun(Delivery Room,Jiangxi Maternal and Child Health Hospital,Jiangxi Province,Nanchang330000,China;Department 1 of Spinal Surgery,Department 1 of Joint Surgery,Department 1 of Rehabilitation,Nanchang Hongdu Hospital of TCM,Jiangxi Province,Nanchang330000,China)

机构地区：[1]江西省妇幼保健院产房,江西南昌330000 [2]南昌市洪都中医院脊柱外一科,关节外一科,康复医学科一区,江西南昌330000

出　　处：《中国当代医药》2024年第16期159-163,共5页China Modern Medicine

基　　金：江西省卫生健康委科技计划项目(202310986)。

摘　　要：目的观察精准协同式营养护理对妊娠期糖尿病者的影响效果。方法选取2020年1月至2022年6月江西省妇幼保健院定期行产检的90例妊娠期糖尿病孕妇为研究对象。采用随机数字表法将其分为对照组(n=45)与观察组(n=45)。对照组采用妊娠糖尿病常规营养管理,观察组采用精准协同式营养管理干预,比较两组研究对象针对妊娠期糖尿病者疾控知识掌握度评分与口服葡萄糖耐量试验(OGTT)复查率、血糖控制和尿酮阳率的对比以及两组孕期体重净增值、剖宫产率、巨大儿率、新生儿低血糖率进行比较。结果观察组的妊娠期糖尿病疾控知识掌握度评分、OGTT复查率、血糖控制率高于对照组,尿酮阳性率、孕期体重净增值、剖宫产率、巨大儿率、新生儿低血糖率低于对照组,差异有统计学意义(P<0.05)。结论采用精准化协同式营养管理可使妊娠期糖尿病孕妇不致引发血糖升高问题,以此获得妊娠结局的改善。Objective To observe the effect of precise collaborative nutritional nursing on gestational diabetes patients.Methods A total of 90 pregnant women with gestational diabetes who had regular antenatal check-up in Jiangxi Maternal and Child Health Hospital from January 2020 to June 2022 were selected as the study objects.They were divided into control group(n=45)and observation group(n=45)by random number table method.The control group used routine nutritional management for gestational diabetes,the observation group used precise synergistic nutrition management intervention.The score of disease control knowledge,the review rate of oral glucose tolerance test(OGTT),blood glucose control and urinary ketone positive rate of gestational diabetes were compared between the two groups,and the net gain of pregnancy weight,cesarean section rate,macrogynia rate and neonatal hypoglycemia rate were compared between the two groups.Results The score of knowledge mastery,OGTT review rate and blood glucose control rate of gestational diabetes mellitus in observation group were higher than those in control group,and the positive rate of urine ketone,net gain of pregnancy weight,cesarean section rate,macrogynia rate and neonatal hypoglycemia rate were lower than those in control group,with statistical significance(P<0.05).Conclusion The use of precise collaborative nutrition management can prevent pregnant women with gestational diabetes from causing elevated blood sugar,so as to improve pregnancy outcomes.

关 键 词：精准护理 协同护理 妊娠期糖尿病 营养管理 

分 类 号：R587.1[医药卫生—内分泌]