摘要
目的探讨妊娠期糖尿病(GDM)患者实施综合性护理及血糖负荷食物交换份法的价值。方法选取200例GDM患者,根据随机数字表法分为对照组与观察组,每组100例。对照组实施综合性护理,观察组在对照组基础上实施血糖负荷食物交换份法干预。比较两组血糖控制效果、妊娠结局。结果观察组空腹血糖、餐后2 h血糖、糖化血红蛋白水平分别为(4.85±0.32)mmol/L、(5.81±0.72)mmol/L、(5.82±1.33)%,均低于对照组的(5.11±0.26)mmol/L、(6.47±0.63)mmol/L、(6.71±1.42)%(P<0.05)。与对照组对比,观察组剖宫产、羊水过多、胎膜早破、妊娠期高血压综合征(妊高征)发生率低(P<0.05)。结论GDM患者采用综合性护理及血糖负荷食物交换份法干预,在良好控制血糖的基础上,可改善妊娠结局。
Objective To explore the value of comprehensive nursing and glycemic load food exchange method in patients with gestational diabetes mellitus(GDM).Methods 200 GDM patients were selected and divided into control group and observation group according to random number table method,with 1oo cases in each group.The control group was given comprehensive nursing care,and the observation group was given food exchange method of glycemic load intervention based on the control group.The blood glucose control effect and pregnancy outcome were compared between the two groups.Results The levels of fasting blood glucose,2 h postprandial blood glucose and HBA1c in the observation group were(4.85±0.32)mmol/L,(5.81±0.72)mmol/L and(5.82±1.33)%,respectively,which were lower than(5.11±0.26)mmol/L,(6.47±0.63)mmol/L and(6.71±1.42)%of control group(P<0.05).Compared with the control group,the incidences of cesarean section,excessive amniotic fluid,premature rupture of membranes and pregnancy-induced hypertension syndrome(PIH)in the observation group were lower(P<0.05).Conclusion GDM patients with comprehensive nursing and glycemic load of food exchange method intervention,on the basis of good control of blood sugar,pregnancy outcome can be improved.
作者
任莹莹
Ren Yingying(Department of Obstetrics,Suining County People's Hospital,Xuzhou 221200,China)
出处
《实用妇科内分泌电子杂志》
2023年第33期147-149,共3页
Electronic Journal of Practical Gynecological Endocrinology
关键词
妊娠期糖尿病
综合性护理
血糖负荷
食物交换份法
Gestational diabetes mellitus
Comprehensive nursing
Glycemic load
Food exchange method
