摘要
摘要目的探讨饮食运动护理干预对超重孕妇妊娠期糖尿病的临床作用方法２０１３年８月－２０１４年１２月,我院门诊产检肥胖孕妇７８例,随机分为干预组(３９例)和对照组(３９例).对照组采用常规护理,要求孕妇早期进行饮食运动相关知识的宣教和指导工作.干预组在常规护理的基础上,进行孕期的饮食运动干预,制定、执行个体化的饮食运动方案.两组患者在孕１２周、２４－２８周及分娩前纪录妊娠期糖尿病(gestationaldiabetesmellitus,GDM)的发生情况、孕妇体重增长情况,同时记录最终分娩方式及新生儿体重.结果两组患者均获得完整随访,其中干预组GDM发生率明显低于对照组(２０．５％Vs４３．６％,P＝０．０２８).干预组体重增长较对照组明显降低,且巨大儿发生率也表现出明显降低.两组孕妇在分娩方式的选择方面无明显统计学差异(P＝０．４１０)结论饮食运动护理干预可以有效减少超重孕妇妊娠期糖尿病的发生率,减少孕期体重的过增长,降低了巨大儿发生率,但对分娩方式的影响效果一般.关键词饮食运动护理干预超重孕妇妊娠期糖尿病Clinicaleffectofdietaryandexerciseinterventionforpreventinggestationaldiabetesmellitusinoverweightpregnancywomen２１３００３ChangzhouChangzhoumaternalandChildHealthHospitalGuyuqin,CaohuiyiAbstractObjectiveTodetectivetheclinicaleffectofdietaryandexerciseinterventionforpreventinggestationaldiabetesmellitusinoverweightpregnancywomenMethodsFromAug．２０１３－Dec．２０１４,７８overweightpregnancywomenwererandomlydividedintotwogroups(３９patientseachgroup)．Thecontrolgroupgotordinarynursing,andwaseducatedwithexercise,dietaryandweightgainknowledge．Theinterventiongroupgotmorethanordinarynursing,andwasprovidedexercise,dietaryandweightgaincounselingindividually．TheincidenceofGDMandweightgainwererecorded．Themodeofdeliveryandnewbornswithmacrosomiawererecordedalso．ResultsAllpatientsgotfullyfollow－up．Comparedwiththecontrolgroup,theincidenceofGDMwasmore(２０．５％Vs４３．６％,P＝０．０２８)．Theweightgainandnewbornswithmacrosomiawerelower．Therewasnosignificantdifferencebetweenthetwogroupsinmodeofdelivery(P＝０．４１０)．ConclusionThedietaryandexerciseinterventioncaneffectivelyreducetheaccidenceofGDM,weightgainandnewbornswithmacrosomia,butnotinmodeofdeliverKye．ywordsDietaryandexerciseintervention;nursingintervention;gestationaldiabetesmellitus;overweightpregnancywomen中图分类号R７１４文献标识码A文章编号１００８－６３１５(２０１５)１２－０１９８－０２
出版日期
2015年12月22日（中国期刊网平台首次上网日期，不代表论文的发表时间）
