Objective To study the effect of nutritional nursing on improving blood lipid and blood glucose of pregnant women with abnormal glucose metabolism. Methods 84 pregnant women with abnormal glucose metabolism from May 2014 to December 2016, were randomly divided into two groups, the control group and the experimental group. The control group was given routine nursing intervention, including the choice of food and food guidance, and so on, according to the method of the diabetes food exchange , at the end of pregnancy, patients were followed up. The experimental group was given strict nutrition nursing intervention, on the basis of the control group. Results The blood glucose levels of pregnant women were significantly higher than in the end of pregnancy, and fasting glucose of mid pregnancy in the control group was significantly lower than the late pregnancy, in the aspect of blood glucose of 2hafter meal and the fasting blood glucose in the middle of pregnancy. Level of lipid triglycerides in the experimental group and the control group were obviously lower than the late pregnancywith statistical significance (P<0.05),and there was no significant difference in high-density lipoprotein cholesterol (hdl-c), low density lipoprotein cholesterol (hdl-c) and total cholesterol levels in mid and late pregnancy between the experimental group and the control group . Conclusion Lipid metabolism disorder is mainly showed as triglycerides in pregnant women with abnormal glucose metabolism, nutritional nursing intervention could effectively control blood sugar levels in pregnant women with abnormal glucose metabolism, without obvious effect on improving blood lipid, and is worthy of application.%目的 研究营养护理在改善糖代谢异常孕妇血脂与血糖水平方面的效果.方法 选择84例2014年5月~2016年12月在宝鸡市妇幼保健院接受治疗的妊娠期糖代谢异常孕妇,采用随机方式将患者平均分为2组.对对照组孕妇选择常规护理干预,具体包括根据糖尿病食物交换法进行食物的选择与食物指导等,孕末期随访孕妇.在对照组护理干预基础上,对试验组患者展开严格的营养护理干预.结果 在餐后2 h血糖与孕中期空腹血糖方面,试验组孕妇孕中期血糖水平明显比孕末期高;对照组孕妇空腹血糖在孕中期明显比孕末期低,在血脂甘油三酯方面,试验组与对照组孕妇孕中期水平明显比孕末期低,差异具有统计学意义(P<0.05);而且试验组与对照组孕妇孕末期和孕中期的高密度脂蛋白、低密度脂蛋白以及总胆固醇等水平比较差异,无统计学意义.结论 妊娠期糖代谢异常孕妇存在脂代谢紊乱,主要表现为甘油三脂升高,营养护理干预能够有效控制糖代谢异常孕妇的血糖水平,但在血脂改善方面没有明显效果.
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