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目的:探讨个体化医学营养治疗应用于妊娠糖尿病患者的效果。方法:我院产科产检确诊为妊娠糖尿病的孕妇147例,将该147例孕妇随机分为研究组及对照组。对照组(n=60),就诊期间不愿意接受个体化医学营养治疗,仅对其进行常规治疗指导。研究组(n=87),就诊期间则自愿接受个体化医学营养治疗。两组孕妇均追踪至分娩,比较其血糖值变化及母婴并发症发生情况。结果:治疗后,研究组孕妇的空腹血糖检测值、餐后2h血糖检测值均低于对照组(P<0.05);母婴并发症发生情况上,研究组孕妇的产后大出血发生率为2.3%(2/87),对照组为13.3%(8/60)。研究组新生儿中巨大儿比例1.1%,对照组为11.7%(P<0.05)。在胰岛素使用情况上,研究组胰岛素使用率为12.6%(11/87);对照组胰岛素使用率为33.3%(20/60),组间比较P<0.05。结论:个体化医学营养治疗对于妊娠糖尿病患者具有重要意义。
Objective: To investigate the effect of individualized medical nutrition therapy on gestational diabetes mellitus patients. Methods: 147 cases of pregnant women diagnosed with gestational diabetes mellitus in our hospital were randomly divided into study group and control group. The control group (n = 60) was unwilling to receive personalized medical nutrition treatment during the visit and was given only routine treatment guidance. The study group (n = 87) volunteered for personalized medical nutrition during the visit. Two groups of pregnant women were traced to delivery, changes in blood glucose levels and maternal and child complications. Results: After treatment, the fasting blood glucose and postprandial blood glucose in pregnant women in the study group were lower than those in the control group (P <0.05). In the incidence of maternal and infant complications, the incidence of postpartum haemorrhage in the study group was 2.3% (2/87) in the control group and 13.3% (8/60) in the control group. The proportion of huge children in the study group was 1.1%, compared with 11.7% in the control group (P <0.05). Insulin use in the study group, the use of insulin rate was 12.6% (11/87); control group, the use of insulin was 33.3% (20/60), between groups P <0.05. Conclusion: Individualized medical nutrition therapy is of great importance to patients with gestational diabetes.