【摘要】 目的观察妊娠中晚期营养指导对妊娠期糖尿病(gestational diabetes mellitus,GDM)孕妇的影响。方法选取2013-05—2014-05间在深圳市妇幼保健院产检并住院分娩的GDM孕妇115例作为观察组;选取同期在此分娩的正常孕妇115例作为对照组。对观察组孕妇实施了有效的营养指导及护理干预,疗程1个月。结果 1个月后观察组孕妇的血糖水平得到了有效的控制,其空腹、OGTT 1 h、OGTT 2 h血糖水平较干预前显著降低。随访至分娩,观察组的剖宫产率、产后出血率、巨大儿出生率、新生儿体重与对照组比较,差异无统计学意义(P>0.05)。结论确保妊娠中晚期营养指导在GDM病例中的有效实施,能有效控制血糖水平,降低不良妊娠结局的发生。更多还原

【Abstract】 Objective To investigate the effects of nutrition guidance for pregnant women with gestational diabetes. Methods 115 cases in our hospital from May 2013- May 2014 for check and GDM pregnant women giving birth in hospital were selected as the observation group; 115 cases of normal pregnant women chose from the same period in our hospital for check and hospital delivery were selected as control group. We observed the implementation of an effective group of pregnant women nutritional guidance and nursing intervention,and treated for a month. Results Glucose levels in the observation group of pregnant women had been effectively controlled after one month,fasting,OGTT 1h,and OGTT 2h glucose levels were significantly lower than that before the intervention. Follow- up until the delivery,cesarean section rate in the observation group,the rate of postpartum hemorrhage,huge child birth,and birth weight compared with control group,the difference was not statistically significant( P > 0. 05). Conclusion Ensure the effective implementation of advanced pregnancy nutrition guidance in cases of GDM,could effectively control blood sugar levels,and reduce the incidence of adverse pregnancy outcomes.更多还原