目的：：探讨营养健康教育对妊娠期糖尿病( gestational diabetes mellitus,GDM)孕妇体重及妊娠结局的影响。方法：选取180例妊娠期糖尿病孕妇,按照孕妇的入院顺序分为观察组和对照组,其中观察组孕妇91例、对照组孕妇89例,观察组与对照组孕妇都给予常规健康教育,观察组孕妇加营养健康教育,对比观察组与对照组孕妇的体重情况以及妊娠结局。结果：观察组孕妇体重超标率(49.45%)低于对照组(83.15%)( P <0.05),孕妇妊高症率(20.88%)低于对照组(41.57%)( P <0.05),孕妇的剖宫产率(34.07%)低于对照组(71.91%)( P <0.05),产后巨大儿率(19.78%)低于对照组(34.83%)( P <0.05)。结论：对妊娠期糖尿病孕妇进行营养健康教育,可有效的控制孕妇的体重,并改善孕妇的妊娠结局,值得推广。%Objective:To investigate the effect of nutrition health education on the weight and pregnancy outcome of pregnant women with ges-tational diabetes mellitus (GDM). Methods:180 cases of patients with GDM were selected and divided into group A ( n =91) and group B ( n=89) by their admission sequence. Routine health education was given to both groups. Patients in group A were also given nutrition health educa-tion. Weight and pregnancy outcome in the two groups were compared. Results:The rates of overweight, pregnancy hypertension syndrome, cesar-ean delivery and fetal macrosomia in group A were all significantly lower than those in group B (49. 45 % vs. 83. 15 %, P <0. 05;20. 88 % vs. 41. 57 %, P <0. 05;34. 07% vs. 71. 91%, P <0. 05;19. 78% vs. 34. 83%, P <0. 05). Conclusion:The nurition health education could effectively control the weight of pregnant women with CDM and improve their pregnancy outcome. It is worth promoting.
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