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目的:研究饮食控制对妊娠糖尿病患者的治疗效果。方法:对照组全部孕妇行常规产检和随访,未对孕妇的饮食及体质量进行相关控制;实验组患者均接受正规的饮食控制和营养指导等相关健康教育,并进行相应的饮食控制。结果:实验组患者的FBG和餐后2h血糖比饮食控制前有了明显的下降,但对照组患者变化不大。与对照组相比,实验组孕妇出现羊水过多、胎膜早破、宫内感染、剖宫产及产后出血的可能性明显降低;实验组胎儿出现早产、巨大儿、新生儿窒息或新生儿低血糖等情况的发生率显著下降。结论:对妊娠糖尿病孕妇给予相应的饮食控制和营养指导等健康宣教,可有效降低并稳定母体血糖,避免母亲和胎儿出现不良并发症,有利于改善孕妇和胎儿的预后,临床治疗值得广泛推广。
Objective: To study the therapeutic effect of diet control on gestational diabetes mellitus patients. Methods: All pregnant women in the control group were routinely checked and followed up without any relevant control on the diet and body weight of pregnant women. The patients in the experimental group received regular health education on diet control and nutritional guidance, and the corresponding diet control. Results: FBG and 2h postprandial blood glucose in the experimental group decreased significantly compared with before diet control, but the patients in the control group did not change much. Compared with the control group, the pregnant women in experimental group had too much amniotic fluid, the possibility of premature rupture of membranes, intrauterine infection, cesarean section and postpartum hemorrhage was significantly lower. In the experimental group, fetuses with preterm birth, macrosomia, neonatal asphyxia or newborn The incidence of hypoglycemia and other conditions decreased significantly. Conclusion: The corresponding health education on diet control and nutrition guidance for pregnant women with gestational diabetes mellitus can effectively reduce and stabilize maternal blood sugar, prevent unwanted complications of mother and fetus, improve the prognosis of pregnant women and fetus, and clinical treatment deserves wide promotion.