| Objective:Through the gestational diabetes mellitus(GDM)in pregnant women medicine nutrition intervention,fasting blood glucose and postprandial 2h before and after intervention was observed the change of the indexs of blood glucose,which discuss matemal child health clinic in tracking and managing medical nutrition therapy model for gestational diabetes blood sugar pregnant women and pregnacy outcomes and the effect of outpatient medical nutrition therapy model on applying provide a reference basis.Methods:230 cases of pregnant women with gestional diabetes from May 2016 to September2017 in Zibo matermal and child health hospital were divided into two groups: 115 cases in the intervention group and 115 cases in the control group.The control group was given routine evaluation guidance to explain the basic knowledge of diet,exercise and blood glucose control of gestational diabetes.fasting and 2h blood glucose were monitored until the end of labor.In the invention group,wechat tracking guidance was established and telephone follow-up and guidance mode on the basis of routine evaluation.Meanwhile,GDM pregnant women were given medical nutrition intervention in the outpatient department at least 4 times.Fasting and postprandial blood glucose were monitored regularly,and intensive intervention was conducted until the end of labor.The changes of blood glucose and pregnancy outcome before and after intervention were compared between the two groups.Results:(1)General data of pregnant women in the intervention group and the control group were compared :mean age,gestational age and body mass index(BMI)of the intervention group,were 30.388±2.47and25.288±0.926 respectively,25.590±1.084 in the control group,the mean age,gestational age and BMI were 30.60±2.68 and 25.311±1.134,respectively.25.569±1.328.There was no significant difference between the group in terms of age,gestational age and body mass index.(P> 0.05).(2)Blood glucose control of GDM pregnant women in the two groups: there was no statistically significant difference in fasting and 2h postprandial blood glucose between thetwo groups before intervention(P>0.05).After the intervention,the blood glucose in the intervention group was significantly lower than that in the control group,and the comparison between the two groups was statistically significant(P<0.05).(3)Comparison of pregnancy outcomes between the two groups of GDM pregnant women: in terms of cesarean section,giant fetus,premature delivery,fetal distress,and gestational hypertension,the incidence of GDM pregnant women intervention group was21.36%,4.85%,2.91%,and 0%,respectively.The incidence of the control group was 35.29%,22.55%,16.67%,11.76%,and 10.78%,respectively.The diference between the two groups was statiscally significant(P<0.05).The incidence of hyperthydramios,maternal infection and postpartum hemorrhage in the intervention group was 0%,4.85%,and4.85%,respectively.The incidence in the control group was 2.94%,5.82% and8.82%,respectively.There was no significant difference between the two groups(P>0.05).(4)Compared with the control group,the weight gain during regnancy in the intervention group was lower than that in the control group,and thedifference was statistically significant.Conclusions:Medical nutrition therapy can effectively control the blood glucose level in the management of gestational diabetes mellitus.The incidence of cesarean section,macrosomia,preterm birth,fetal distress,and gestational hypertension was significantly lower than that of the control group,indicating that strengthening the monitoring of blood glucose in pregnant women with gestational diabetes can improve the quality of obstetrics and reduce the occurrence of adverse pregnancy outcomes. |
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