为了探讨糖尿病教育在改善妊娠期糖耐量降低血糖控制与妊娠结局中的作用 ,本研究采用类实验研究设计 ,方便取样(n =16 7) ,设立糖尿病干预组、糖尿病对照组和正常对照组 ,观察糖尿病干预组接受糖尿病教育前后知信行的变化 ,比较 3组的妊娠结局。结果 :糖尿病干预组在接受教育前后相关知识和疾病控制行为有了显著的改善。糖尿病干预组孕末期餐后 2小时血糖与糖尿病对照组相比有显著改善。糖尿病干预组妊高征和巨大儿的发生率显著低于糖尿病对照组 ,与正常组接近 ,新生儿 1分钟Apgar评分显著高于糖尿病对照组。结论 :糖尿病教育对改善妊娠期糖耐量降低孕妇的血糖控制和妊娠结局有积极作用。以糖尿病教育护士为主导的教育和咨询服务 ,可弥补我国传统的妊娠期糖耐量降低孕妇管理模式的不足 ,是新时期一种有益的尝试 In order to explore the role of diabetes education in improving glycemic control and pregnancy outcomes in gestational IGT, this study designed a class of experimental design to facilitate sampling (n = 16 7), the establishment of diabetes intervention group, diabetes control group and normal control group, Observe the changes of the information before and after diabetes education in diabetic intervention group and compare the pregnancy outcome of the three groups. Results: There was a significant improvement in knowledge-related and disease-control behaviors in diabetes intervention group before and after receiving education. Diabetes intervention group at the end of 2 hours postprandial blood glucose and diabetic control group compared to significant improvement. The incidence of PIH and macrosomia in diabetic intervention group was significantly lower than that in diabetic control group, and close to the normal group. Apgar score at 1 minute in neonates was significantly higher than that in diabetic control group. Conclusion: Diabetes education has a positive effect on improving glycemic control and pregnancy outcome in pregnant women with impaired glucose tolerance. Education and counseling services led by diabetes education nurses can make up for the deficiency of the traditional management model of pregnant women with impaired glucose tolerance in pregnancy in our country, which is a beneficial attempt in the new era