【摘要】 目的研究不同营养门诊管理模式对妊娠期糖尿病患者门诊复诊依从性的影响,及是否可以改善妊娠期间的血糖。方法选取2018年1—12月在医院营养门诊就诊并完成分娩的妊娠期糖尿病患者197例,按照就诊时间将患者分为对照组100例和研究组97例。对照组给予以饮食指导和健康教育为主的管理,研究组给予孕期连续性营养门诊管理。比较两组患者的门诊复诊依从性和血糖控制情况。结果研究组的复诊率(65.0%)高于对照组(40.0%)(P <0.05)。研究组的平均就诊次数(3次)高于对照组(1次)(P <0.05)。研究组在临近分娩时糖化血红蛋白平均值低于对照组,糖化血红蛋白达标率高于对照组(P <0.05),胰岛素的使用率低于对照组(P <0.05)。结论通过对妊娠期糖尿病患者开展连续性营养门诊管理可以有效提高患者门诊复诊的依从性,并对改善妊娠期血糖和减少胰岛素使用有益。更多还原

【Abstract】 Objective To study the effect of different nutrition clinic management modes on subsequent visit compliance of patients with gestational diabetes mellitus and whether it can control blood glucose during pregnancy. Methods From January to December 2018, 197 patients with gestational diabetes mellitus who attended the nutrition clinic in our hospital and delivered in our hospital were divided into control group(100 cases) and study group(97 cases). The control group was given diet guidance and health education management, the study group was given continuous nutrition clinic management. The compliance of subsequent visit and blood glucose control of the two groups was compared. Results The subsequent visit rate of the study group was 65.0%, which was higher than that of the control group(40.0%), P < 0.05. The average number of subsequent visits in the study group was 3 times, higher than that in the control group(1 time), P < 0.05. The average value of glycosylated hemoglobin before delivery in the study group was lower than that in the control group, the rate of reaching the standard of glycosylated hemoglobin was higher than that in the control group, P < 0.05, and the rate of using insulin was lower than that in the control group, P < 0.05. Conclusion The continuous nutrition clinic management can improve the subsequent visit compliance of the patients with gestational diabetes mellitus, improve the blood glucose and reduce the use of insulin.更多还原