Objective To investigate whether gestational diabetes mellitus and postnatal maternal factors are associated with prenatal health education and related nutritional interventions.Methods From June 2014 to June 2016,164 pregnant women with routine examination in Mianyang Maternal and Child Health-Care Hospital were selected and the patients were identified as GDM.Nity-five cases were selected as observation group and 69 cases were taken as the control group.Patients in the observation group received relevant education and intervention,while the control group did not.Patients in the observation group were diagnosed with GDM,and were treated in the hospital.Individual health care education and intervention was carried out by the relevant medical staffs on gestational patients.After the normal glycemic index (GI) was discharged,the blood glucose was monitored and the health examination was carried out regularly.The control group was not hospitalized during pregnancy,receiving a regular health education and nutritional intervention,the other were consistent with the observation group.We observed the cure rate of gestational diabetes mellitus,glycemic index,weight change during pregnancy and postpartum maternal and neonatal complications in two groups of pregnancy-related patients after intervention treatment.Results The effective rates of the observation group and the control group were 91.1％ and 80％,respectively,and blood glucose of the observation group in each period was lower than that of the control group.The maternal and infant morbidity rate in the observation group was lower than that in the control group.Gestational growth and BMI changes in the control group were significantly higher than those of the observation group.Conclusion Prenatal health education and related nutrition intervention can effectively control postpartum maternal and neonatal complications,weight and blood glucose ranges.The effect is obvious,and this method can be promoted.%目的 探究妊娠期糖尿病以及产后对母婴的影响因素是否与产前健康教育以及相关营养方面的干预有关.方法 选取2014年6月至2016年6月来绵阳市妇幼保健院进行常规产检的孕妇164例,且确定为妊娠糖尿病(GDM)患者,分别抽取95例,69例作为观察组和对照组.观察组患者接受相关教育及干预,对照组则不接受.观察组妊娠期患者被确诊GDM后,接受住院治疗.由相关医护人员对妊娠期患者进行个性的相关教育及干预,血糖指数(Glycemic index,GI)正常后出院,监测血糖、产检定期、进行健康教育.对照组妊娠期患者不住院,接受一次常规的健康教育和营养干预,其他与观察组保持一致.观察2组妊娠期患者相关干预治疗后的妊娠期糖尿病治愈率、血糖指数变化、妊娠期体质量变化及产后母要并发症情况.结果 观察组与对照组的治疗有效率分别为91.1％,79.7％,且观察组各时间段血糖低于对照组.观察组孕妇产后母婴发病率均低于对照组.妊娠期增长及体质量指数(BMI)变化情况,对照组患者显著高于观察组患者.结论 产前健康教育以及相关营养方面的干预,有效控制患者产后母婴并发症、体质量及血糖范围,且效果明显,可推广此法.
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