摘要
目的:探讨个性化营养干预联合快速康复(FTS)对妊娠期糖尿病(GDM)孕妇剖宫产术后恢复、并发症和糖代谢的影响。方法:根据护理方式不同将120例GDM剖宫产孕妇分为A组、B组、C组,每组各40例。A组给予饮食教育和常规护理;B组给予饮食教育及FTS护理;C组给予个性化营养干预及FTS护理,各组均从入院干预至出院。比较各组术后恢复指标(泌乳始动时间、首次排气时间、首次下床时间、血性恶露持续时间、术后住院时间及切口愈合情况)及糖代谢指标[入组时、术后1 d及术后3 d空腹血糖(FBG)、餐后2 h血糖(2hPG),产后42 d的75 g糖耐量试验(OGTT)],记录各组术后并发症发生情况及出院时护理满意度。结果:各组泌乳始动时间、首次排气时间、首次下床时间、血性恶露持续时间、术后住院时间比较:C组<B组<A组(P<0.05)。术后1 d及术后3d,各组FBG及2hPG比较:C组<B组<A组(P<0.05)。产后42d,各组 0GTT比较:C组<B组<A组(P<0.05)。C 组总并发症发生率低于A组(P<0.05),A组与B组、B组与 C组比较差异均无统计学意义(P>0.05)。C组护理满意度高于A组和B组(97.50%vs.80.00%;97.50%vs.87.50%,P<0.05)。结论:个性化营养干预联合FTS能缩短GDM剖宫产术恢复时间,利于患者产后血糖稳定,值得临床推广。
Objective:To explore the effect of individualized nutritional intervention combined with rapid rehabilitation(FTS)on the recovery,complications and glucose metabolism of pregnant women with gestational diabetes mellitus(GDM)after cesarean section.Methods:120 pregnant women with GDM cesarean section were selected as the research objects.The patients were divided into three groups(group A,group B,group C)according to different nurse methods,40 cases in each group.Group A was given diet education and routine nursing,group B was given diet education and FTS nursing,and group C was given individualized nutrition intervention and FTS nursing.All three groups were intervened from admission to discharge.The postoperative recovery indexes[lactation initiation time,first exhaust time,first time to get out of bed,duration of bloody lochia,postoperative hospital stay and incision healing]and glucose metabolism indexes[fasting blood glucose(FBG),2 h postprandial blood glucose(2hPG)at the time of enrollment,3 days after delivery and 7 days after delivery,75 g oral glucose tolerance test(OGTT)at 42 days after delivery]were compared among the three groups.The postoperative complications and nursing satisfaction at discharge were recorded in the three groups.Results:The initial time of lactation,the first exhaust time,the first next time,the duration of bloody lochia,and the postoperative hospital stay in group C were shorter than those in group A and group B(P<0.05).The compliance rates of FBG and 2 hPG in group C were lower than those in group B and group A at 3 and 7 d after delivery(P<0.05).The OGTT in group C was lower than that in group B and group A at 42 d after delivery(P<0.05).The total incidence of complications in Group C was lower than that in Group A(P<0.05),and there was no statistically significant difference between Group A and Group B,and Group C(P>0.05).The nursing satisfaction of group C was 97.50%,which was higher than 80.00%of group A and 87.50%of group B(P<0.05).Conclusion:Personalized nutrition intervention combined with FTS can shorten the recovery time of patients with GDM after cesarean section,which is beneficial to the stability of postpartum blood glucose,and is worthy of clinical promotion.
作者
苏丽珍
朱建英
王碧云
陈锦秀
骆志慧
刘惠霞
SU Li-zhen;ZHU Jian-ying;WANG Bi-yun;CHEN Jin-xiu;LUO Zhi-hui;LIU Hui-xia(Department of Obstetrics,Dongguan Maternal and Child Health Care Hospital,Dongguan 523110,Guangdong,China)
出处
《川北医学院学报》
CAS
2024年第3期419-423,共5页
Journal of North Sichuan Medical College
基金
广东省东莞市社会发展科技项目(20211800901492)
广东省医学科学技术研究基金项目(B2021336)。
关键词
妊娠期糖尿病
剖宫产
个性化营养干预
快速康复
糖代谢
产后恢复
Gestational diabetes mellitus
Cesarean section
Personalized nutrition intervention
Rapid rehabilitation
Sugar metabolism
Postpartum recovery
