摘要
目的探讨孕期控制体质量对妊娠期糖尿病患者妊娠结局的影响。方法选取2013年7月1日-2014年7月31日孕检被确诊的140例妊娠期糖尿病孕妇,将其分为对照组和观察组各70例。对照组接受常规的健康宣教,观察组由助产士门诊根据孕妇的体质量和营养状况制定详细的饮食方案。比较2组分娩前体质量、身体质量指数(BMI)改变情况、围生期并发症发生率及新生儿并发症发生率。结果观察组分娩前增加的体质量和BMI≥6kg/m^2的例数均低于对照组。观察组围生期羊水过多和妊娠高血压综合征并发症的发生率、新生儿并发症的发生率低少对照组。结论体质量控制应用于妊娠期糖尿病患者,有助于控制血糖和体质量在合理范围内波动,能明显降低产妇和新生儿的并发症发生率,有利于改善妊娠结局。
Objective To explore the effect of gestation weight control on pregnancy outcome of patients with gestational diabetes mellitus.Methods One hundred and forty pregnant women diagnosed as gestational diabetes mellitus after OGTT test at pregnancy test for the twenty-fourth to twenty-eighth week from July 1st 2013 to July 31st 2014 were selected and divided into a control group and an observation group,with 70 cases in each group.The control group accepted routine treatment after they were diagnosed as gestational diabetes mellitus,while the observation group followed detailed and targeted diet and exercises plan made by midwives. The weight before delivery,the body mass index （BMI）changes and complication rates in the perinatal period for the pregnant women,as well as neonatal complications were compared in these two group.Results The average pre-delivery weight and the rate of △BMI ≥ 6Kg/m2 in the observation group were both significantly lower than those in the control group.The occurrence of perinatal complications among the adults and neonatal complications of the observation group were also significantly lower than those of the control group. Conclusion Gestation weight control for pregnant patients with gestational diabetes mellitus can not only keep blood glucose and weight fluctuations within a reasonable scope,but also significantly reduce maternal and neonatal complication rate and improving the pregnancy outcome.
出处
《中国临床护理》
2015年第6期487-489,共3页
Chinese Clinical Nursing
关键词
糖尿病
妊娠
妊娠结局
体质量
Gestational diabetes mellitus
Pregnancy outcome
Body weight
