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选取GDM患者84例,随机分为对照组42例采用胰岛素泵治疗并实施常规护理措施,观察组42例在对照组基础上采用个性化营养干预。结果观察组FPG、2h PG较对照组降低,血糖控制时间明显缩短,(P<0.05);观察组剖宫产、妊娠期高血压、酮症酸中毒发生率较对照组明显降低(P<0.05);新生儿高胆红素血症、低血糖、巨大儿、窒息发生率降低(P<0.05)。结论给予GDM患者胰岛素泵联合个性化营养干预治疗可改善患者血糖水平,降低并发症发生率。
Eighty-four patients with GDM were randomly divided into control group (n = 42) and insulin pump (n = 42). Conventional nursing interventions were given to 42 patients in the observation group. Individualized nutrition intervention was given on the basis of the control group. Results The levels of FPG and 2h PG in the observation group were lower than those in the control group and the blood glucose control time was significantly shortened (P <0.05). The incidences of cesarean section, gestational hypertension and ketoacidosis in the observation group were significantly lower than those in the control group (P <0.05 ); Neonatal hyperbilirubinemia, hypoglycemia, macrosomia, asphyxia incidence decreased (P <0.05). Conclusion GDM patients with insulin pump combined with personalized nutrition intervention can improve blood glucose levels and reduce the incidence of complications.