摘要
目的对个体化饮食干预在妊娠期糖尿病孕妇血糖控制中的干预效果进行调查,并对患者妊娠结局进行观察。方法选择我院2015年4~12月间64例妊娠期间合并糖尿病的患者,将所有患者随机分为观察组和对照组,每组32例。观察组患者采用个体化饮食干预,对照组患者采用常规饮食干预,比较两组患者血糖控制水平,同时观察患者妊娠结局。结果观察组患者餐前血糖水平为（4.9±0.5）mmol/L,餐后1h血糖平均为（6.8±1.1）mmol/L,餐后2h血糖水平为（6.0±0.5）mmol/L,与对照组比较差异有统计学意义（P〈0.05）。观察组有3例早产、5例剖宫产、4例难产、4例新生儿窒息病例,对照组有7例早产、19例剖宫产、11例难产、9例新生儿窒息病例,差异有统计学意义（P〈0.05）。观察组患者有3例妊娠期高血压、2例产后出血、1例产褥感染、3例胎儿宫内窘迫病例,并发症发生率为28.1%,对照组有7例妊娠期高血压、5例产后出血、5例产褥感染、4例胎儿宫内窘迫病例,并发症发生率为65.6%,差异有统计学意义（P〈0.05）。结论个体化饮食干预能够提升患者血糖控制水平,改善患者妊娠结局。
Objective To investigate the effect of individual diet intervention on the blood glucose control in pregnant women with gestational diabetes mellitus,and to observe the outcome of pregnancy. Methods 64 cases of patients with diabetes during pregnancy,who were in our hospital from April 2015 to December 2015,were randomly divided into observation group and control group,32 cases in each group.Patients of the observation group were treated with individual diet intervention,and the control group was treated with routine diet intervention.Blood glucose levels were compared between the two groups,and the pregnancy outcomes were observed. Results The blood glucose level of the observation group was（4.9＋0.5）mmol/L,the blood glucose level of 1 hour after meal was（6.8＋1.1）mmol/L, the blood glucose level of 2 hours after meal was（6.0＋0.5）mmol/L,and there were significant differences between the observation group and the control group（P 0.05）.The complication rate of observation group was 28.1%,including 3 cases of pregnancy hypertension,2 cases of postpartum hemorrhage,1 case of puerperal infection,and 3 cases of fetal distress in uterus cases,which was significantly lower than that of the control group of 65.6%.There were significant differences（P 0.05）.In the control group,there were 7 cases of gestational hypertension,5 cases of postpartum hemorrhage,5 cases of puerperal infection,and 4 cases of intrauterine fetal distress. Conclusion Individual diet intervention can improve the blood glucose control level and improve the pregnancy outcome.
出处
《中国医药科学》
2016年第12期62-65,共4页
China Medicine And Pharmacy
基金
广东省广州市花都区科技计划项目医疗卫生一般科研专项(15-HDWS-038)
关键词
个体化饮食干预
妊娠糖尿病
血糖
妊娠结局
Individual diet intervention
Gestational diabetes mellitus
Blood glucose
Pregnancy outcome
