心理干预联合营养综合治疗妊娠期糖尿病疗效观察

发布时间：2019-08-17 17:01

【摘要】：目的观察心理干预联合营养综合治疗妊娠期糖尿病(GDM)的疗效。方法将400例GDM患者随机分为观察组和对照组各200例,均予常规治疗,观察组另予心理干预及营养综合治疗;比较干预前后两组空腹血糖(FBG)、糖化血红蛋白(Hb A1C)、C反应蛋白(CRP),并行抑郁自评量表(SDS)及焦虑自评量表(SAS)评分,记录母婴结局及胰岛素应用情况。结果两组治疗后FBG、Hb A1C、CRP及SDS、SAS评分均较治疗前下降,而观察组较对照组下降显著,P均0.05;观察组加用胰岛素治疗6例,对照组19例,P均0.05;观察组妊娠高血压综合征、胎膜早破、羊水过多、早产、剖宫产及巨大儿、胎儿宫内窘迫、新生儿窒息发生率低于对照组,P均0.05。结论心理干预联合营养综合治疗有助于GDM患控制血糖、降低妊娠并发症发生率和剖宫产率,改善新生儿结局。
[Abstract]:Objective to observe the efficacy of psychological intervention combined with nutrition in the treatment of gestational diabetes mellitus (GDM). Methods 400 patients with GDM were randomly divided into observation group (n = 200) and control group (n = 200). The observation group was treated with psychological intervention and nutritional comprehensive treatment, and the fasting blood glucose (FBG), glycosylated hemoglobin (Hb A1C), C reactive protein (CRP), self-rating depression scale (SDS) and self-rating anxiety scale (SAS) were compared between the two groups before and after intervention, and the maternal and infant outcomes and insulin application were recorded. Results after treatment, the scores of FBG,Hb A1C and SDS,SAS in the observation group were significantly lower than those in the control group (P 0.05), 6 cases in the observation group were treated with insulin, 19 cases in the control group (P both 0.05), and the incidence of pregnancy induced hypertension syndrome, premature rupture of membranes, excessive amniotic fluid, premature delivery, cesarean section and macrosomia, fetal distress and neonatal asphyxia in the observation group were lower than those in the control group (P 0.05). Conclusion Psychological intervention combined with nutritional comprehensive treatment is helpful to control blood glucose, reduce the incidence of pregnancy complications and cesarean section rate, and improve neonatal outcome in patients with GDM.
【作者单位】：上海交通大学附属第六人民医院;上海市嘉定区中心医院;
【分类号】：R714.256

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