摘要
目的探讨个体化健康宣教与自我管理对妊娠糖尿病患者的作用,分析其临床结局。方法 2009年收治单胎GDM病例(n=60),入组病例均接受健康宣教,向其阐述自我管理的重要性,制定个体化的管理计划,包括营养教育、运动建议、心理辅导。发放一周膳食记录表,详尽记录进食情况、体重变化及餐后2h血糖,根据记录进行能量及能量营养素摄入计算,并分析孕期体重变化、餐后2h血糖(2hPG),总结新生儿出生体重,羊水异常、早产等的发生率。结果持续自我管理第1w至第4w能量摄入均值为2062kcal/d,与目标值相比较P>0.05,均不具有显著性差异。孕期增重达标率为65%,自我管理阶段平均增重速度为0.38kg/w。自我管理期间监测2hPG1168次,其中15.6%超过6.7mmol/L,2.98%低于4.4 mmol/L。60例中早产3例,巨大儿2例,不存在低出生体重儿及新生儿Apgar’s评分1′<10的情况。结论个体化健康宣教和自我管理对改善妊娠结局具有较好的效果。
Objective：To study the individual health education and self management of diabetes in pregnancy effect,and analyse its clinical outcome. Methods：2009 were singleton GDM case（n=60）,the patients received health education,to elaborate the importance of self management,making individual management plans,including nutrition education,psychological counseling,exercise recommendations. Issuing a week diet records,detailed records changes in weight,eating and 2 hour postprandial blood glucose,according to the records of the energy and nutrient intake calculation,and analysis of gestational weight change,2 hour postprandial blood glucose（2hPG）,summarizes the birth weight of newborns,the incidence of abnormal amniotic fluid,premature. Results：Continuous self management first to the fourth week of energy intake was 2062kcal/d,and the target values compared with P0.05,there was no significant difference in. Pregnancy weight gain standard rate of 65%,self management stage average weight gain rate is 0.38kg/w.Self management during the monitoring of 2hPG1168,in which more than 15.6% of 6.7mmol/L,2.98% less than 4.4mmol/L. 3 cases of preterm labor in 60 cases,2 cases of macrosomia,without low birth weight and neonatal s score of Apgar ′1 ′10 cases. Conclusion：Individual health education and self management has a better effect on improving pregnancy outcome.
出处
《中国优生与遗传杂志》
2014年第6期81-82,122,共3页
Chinese Journal of Birth Health & Heredity
关键词
个体化
健康宣教
自我管理
妊娠糖尿病
妊娠结局
Individual
Health education
Self-management
Gestationaldiabetes
Pregnancy outcome
