中国妇幼健康研究
中國婦幼健康研究
중국부유건강연구
Chinese Journal of Woman and Child Health Research
2015年
5期
928-930,931
,共4页
黄天舒%张盛燕%曾海霞%孙淼%陈青娇%蔡彩萍
黃天舒%張盛燕%曾海霞%孫淼%陳青嬌%蔡綵萍
황천서%장성연%증해하%손묘%진청교%채채평
固定膳食能量标准餐管理%妊娠期糖尿病%血糖%妊娠期糖尿病相关知识%母婴结局
固定膳食能量標準餐管理%妊娠期糖尿病%血糖%妊娠期糖尿病相關知識%母嬰結跼
고정선식능량표준찬관리%임신기당뇨병%혈당%임신기당뇨병상관지식%모영결국
fixed dietary energy standard meal management%gestational diabetes mellitus ( GDM )%blood glucose%GDM related knowledge%maternal and infant outcomes
目的:观察固定膳食能量标准餐管理对妊娠期糖尿病( GDM )患者血糖、相关知识掌握程度及母婴预后的影响。方法将纳入研究的106例妊娠24~35周的GDM患者抽签分为观察组(56例)和对照组(50例)。对照组给予常规运动、饮食指导方案,观察组除运动指导外给予固定膳食能量标准餐管理方案,干预4周后比较两组血糖及GDM相关知识的掌握情况,并观察分娩后两组母婴结局的差异。结果干预4周后,观察组空腹血糖、餐后2h血糖及睡前血糖均低于对照组,比较有统计学差异(t值分别为4.326、5.356、4.242,P<0.05)。观察组GDM相关知识掌握从血糖检测方法、生活方式对血糖的影响、GDM的高危因素、GDM对母婴的危害、药物控制的知识知晓程度、低血糖反应的认识及预防处理方法6个方面均高于对照组,两组比较差异均有统计学意义(t值分别为7.453、12.455、14.510、15.503、13.456、16.512,P<0.05)。分娩后,观察组孕产妇、新生儿结局不良发生总人数均显著低于对照组,两组比较有统计学差异(χ2值分别为4.733、3.912,均P<0.05),其中观察组胎膜早破、巨大儿、宫内窘迫/生后窒息均显著低于对照组(χ2值分别为5.456、4.463、5.013,P<0.05)。结论固定膳食能量标准餐管理有助于GDM患者控制血糖及提高GDM相关知识的掌握程度,从而对母婴结局的改善有积极意义。
目的:觀察固定膳食能量標準餐管理對妊娠期糖尿病( GDM )患者血糖、相關知識掌握程度及母嬰預後的影響。方法將納入研究的106例妊娠24~35週的GDM患者抽籤分為觀察組(56例)和對照組(50例)。對照組給予常規運動、飲食指導方案,觀察組除運動指導外給予固定膳食能量標準餐管理方案,榦預4週後比較兩組血糖及GDM相關知識的掌握情況,併觀察分娩後兩組母嬰結跼的差異。結果榦預4週後,觀察組空腹血糖、餐後2h血糖及睡前血糖均低于對照組,比較有統計學差異(t值分彆為4.326、5.356、4.242,P<0.05)。觀察組GDM相關知識掌握從血糖檢測方法、生活方式對血糖的影響、GDM的高危因素、GDM對母嬰的危害、藥物控製的知識知曉程度、低血糖反應的認識及預防處理方法6箇方麵均高于對照組,兩組比較差異均有統計學意義(t值分彆為7.453、12.455、14.510、15.503、13.456、16.512,P<0.05)。分娩後,觀察組孕產婦、新生兒結跼不良髮生總人數均顯著低于對照組,兩組比較有統計學差異(χ2值分彆為4.733、3.912,均P<0.05),其中觀察組胎膜早破、巨大兒、宮內窘迫/生後窒息均顯著低于對照組(χ2值分彆為5.456、4.463、5.013,P<0.05)。結論固定膳食能量標準餐管理有助于GDM患者控製血糖及提高GDM相關知識的掌握程度,從而對母嬰結跼的改善有積極意義。
목적:관찰고정선식능량표준찬관리대임신기당뇨병( GDM )환자혈당、상관지식장악정도급모영예후적영향。방법장납입연구적106례임신24~35주적GDM환자추첨분위관찰조(56례)화대조조(50례)。대조조급여상규운동、음식지도방안,관찰조제운동지도외급여고정선식능량표준찬관리방안,간예4주후비교량조혈당급GDM상관지식적장악정황,병관찰분면후량조모영결국적차이。결과간예4주후,관찰조공복혈당、찬후2h혈당급수전혈당균저우대조조,비교유통계학차이(t치분별위4.326、5.356、4.242,P<0.05)。관찰조GDM상관지식장악종혈당검측방법、생활방식대혈당적영향、GDM적고위인소、GDM대모영적위해、약물공제적지식지효정도、저혈당반응적인식급예방처리방법6개방면균고우대조조,량조비교차이균유통계학의의(t치분별위7.453、12.455、14.510、15.503、13.456、16.512,P<0.05)。분면후,관찰조잉산부、신생인결국불량발생총인수균현저저우대조조,량조비교유통계학차이(χ2치분별위4.733、3.912,균P<0.05),기중관찰조태막조파、거대인、궁내군박/생후질식균현저저우대조조(χ2치분별위5.456、4.463、5.013,P<0.05)。결론고정선식능량표준찬관리유조우GDM환자공제혈당급제고GDM상관지식적장악정도,종이대모영결국적개선유적겁의의。
Objective To observe the effect of fixed dietary energy standard meal management on blood glucose, related knowledge awareness, maternal and infant prognosis of patients with gestational diabetes mellitus ( GDM) .Methods A total of 106 GDM patients of 24 to 35 weeks of pregnancy were randomly divided into observation group (56 cases) and control group (50 cases).The control group was given routine guidance on exercise and diet, while the observation group was provided with fixed dietary energy standard meal management additionally.Blood glucose and GDM related knowledge were compared between two groups after 4 weeks, and the difference in maternal and neonatal outcomes was observed.Results Compared with the control group, fasting blood glucose, postprandial 2h blood glucose, bedtime blood glucose of the observation group were lower after 4 weeks, and the differences were significant ( t value was 4.326, 5.356 and 4.242, respectively, all P<0.05).The observation group had higher awareness of GDM knowledge than the control group in the aspects of blood glucose detection method, influence of life style on blood glucose, high risk factors of GDM, harm of GDM to mother and infant, awareness of the knowledge about drug control, and the recognition of prevention and treatment of low blood sugar, and the differences were significant (t value was 7.453, 12.455, 14.510, 15.503, 13.456 and 16.512, respectively, all P<0.05).After delivery, the number of cases with adverse outcomes were less in the observation group than in the control group with statistical significance (χ2 value was 4.733 and 3.912, respectively, both P <0.05).The incidences of premature rupture of membranes, macrosomia, intrauterine distress/asphyxia after birth of the observation group were lower (χ2 value was 5.456, 4.463 and 5.013, respectively, all P<0.05).Conclusion The fixed dietary energy standard meal management can help GDM patients to control blood glucose and improve GDM related knowledge, thus it is useful in improving maternal and infant outcomes.