刘海霞 陈丽 吴梦川 邸慧敏

[摘要] 目的 探討对妊娠期糖尿病妇女行围生期个性化综合干预对母乳喂养及产妇血糖控制的影响。方法 便利选取2018年1月—2019年7月期间该院收治的40例妊娠期糖尿病妇女作为研究对象，采用随机数字表法分为对照组（常规护理）和观察组（围生期个性化综合干预），每组产妇20例。对比护理后产妇母乳喂养的情况及产妇血糖控制情况。 结果 经护理干预后，观察组产妇母乳喂养成功率60.00%、泌乳启动时间（33.54±1.93）h以及平均乳量指标（140.42±9.65）mL明显优于对照组患者，差异有统计学意义（χ2=6.667，P<0.05;t=10.124、38.139，P<0.05）;观察组患者的各项血糖水平均显著低于对照组，差异有统计学意义（P<0.05）。结论 对妊娠期糖尿病妇女行围生期个性化综合干预，可有效提高母乳喂养的成功率及有利于产妇血糖的控制，有较高临床应用价值。

[关键词] 妊娠期糖尿病;围生期;个性化综合干预;母乳喂养;泌乳启动;血糖控制

[中图分类号] R473.71          [文献标识码] A          [文章编号] 1674-0742（2020）06（a）-0049-03

Explore the Effect of Perinatal Personalized Comprehensive Intervention on Breastfeeding and Blood Glucose Control in Women with Gestational Diabetes Mellitus （GDM）

LIU Hai-xia1， CHEN Li2， WU Meng-chuan2， DI Hui-min3

1.Department of Obstetrics and Gynecology， Shenzhen Nanshan Medical Group Headquarters， Shenzhen， Guangdong Province， 518055 China; 2.Department of Obstetrics， Shenzhen Southern University of Science and Technology， Shenzhen， Guangdong Province， 518055 China; 3.International Breastfeeding Division， Maternal and Child Health and Education Professional Committee of China Life Care Association Shenzhen Branch， Shenzhen， Guangdong Province， 518055 China

[Abstract] Objective To explore the effect of perinatal personalized comprehensive intervention on breastfeeding and maternal blood glucose control in gestational diabetic women. Methods Convenient selection of 40 women with gestational diabetes who were admitted to the hospital from January 2018 to July 2019 were used as research objects. They were divided into control group （routine care） and observation group （perinatal personalized personalized comprehensive intervention） by random number table method）， 20 women in each group. Compare the situation of breastfeeding and maternal blood glucose control after nursing. Results After nursing intervention， the maternal breastfeeding success rate in the observation group was 60.00%， the lactation start time （33.54±1.93） h， and the average milk volume index （140.42±9.65） mL were significantly better than those in the control group. The difference was statistically significant （χ2=6.667， P<0.05; t=10.124， 38.139， P<0.05）; the blood glucose levels of patients in the observation group were significantly lower than those in the control group， and the difference was statistically significant （P<0.05）. Conclusion Perinatal personalized comprehensive intervention for gestational diabetic women can effectively improve the success rate of breastfeeding and be beneficial to the control of maternal blood sugar， and has higher clinical application value.

[Key words] Gestational diabetes; Perinatal period; Personalized comprehensive intervention; Breastfeeding; Lactation initiation; Blood glucose control

妊娠期糖尿病是糖尿病的一种比较特殊类型的疾病，可能是由于某些遗传或营养因素导致母体内分泌功能失调、胰岛素分泌不足，无法降低血糖的含量最终引起该病的，该疾病是指怀孕前未患糖尿病，而在怀孕时才出现高血糖现象 [1]。妊娠期糖尿病的产妇多会担忧遗传因素而在产后不给予新生儿母乳喂养。为探究围生期个性化综合干预对GDM妇女母乳喂养及产妇血糖控制的影响，特便利选取2018年1月—2019年7月来该院接受治疗的40例该疾病产妇行临床对比试验。现报道如下。

1  资料与方法

1.1  一般资料

便利选取该院收治的40例妊娠期糖尿病产妇作为研究对象，采用随机数字表法将研究对象分为两组，其中对照组产妇年龄20～35岁，平均年龄为（28.91±2.44）岁;平均孕周为（35.21±2.16）周。……