妊娠期糖尿病饮食治疗的临床效果分析(1)
[摘要] 目的 探讨妊娠期糖尿病的饮食治疗。方法 方便选择该院2015年1—12月间收治的40例妊娠期糖尿病患者为观察组，同时选择正常产妇40名为对照组，对照组患者未进行饮食方案治疗，由医护人员对患者进行口头指导。观察组患者先由营养师对其营养进行评价，并对患者的身高和体重数据，采取合适的饮食治疗方案，观察两组患者的血糖及分娩方式和并发症。结果 与治疗前相比，空腹血糖、餐后2 h血糖治疗后分别为(4.89±2.32)、(5.17±2.67)mmol/L，对比分析后，差异有统计学意义(t=9.293、8.068，P<0.05)。与对照组患者相比，观察组剖宫产、阴道分娩、妊娠期高血压、巨大儿和羊水过多分别为10例、30例、6例、1例和0例，对比分析后，差异有统计学意义(χ2=7.945、8.348、4.029、7.234、5.023，P<0.05)。结论 对于妊娠期糖尿病患者，合理的饮食治疗方案可有效控制血糖水平，保证孕妇及产儿的健康。
[关键词] 妊娠期糖尿病；饮食治疗；血糖
[中图分类号] R587.1 [文献标识码] A [文章编号] 1674-0742(2016)08(c)-0014-03
Study on Diet Therapy for Patients with Gestational Diabetes
MA Hui-bing
Department of Obstetrics and Gynecology， Nanping Maternal and Child Health-Care Hospital， Fujian Province，Nanping，Fujian Province，353000 China
[Abstract] Objective To study diet therapy for patients with gestational diabetes. Methods Convenient selection 40 cases of patients with gestational diabetes were selected from January 2015 to December 2015 in our hospital treated as observation group with normal maternal 40 cases observed in patients as control group. Patients in control group were treated without dietary regimen.They were treated with health care professionals oral guidance. Patients in observation group were evaluated first by nutritionists， and the patient's height and weight data， take appropriate dietary regimen. Blood glucose and delivery methods and complications of the two groups were observed. Results Compared with the previous treatment， fasting glucose， respectively (4.89 ± 2.32) mmol/L after 2 h postprandial blood glucose after treatment (5.17 ± 2.67) mmol/L， comparative analysis， the difference was statistically significant (t= 9.293，8.068，P <0.05). Compared with control group， observation group of cesarean section and vaginal delivery， gestational period hypertension， macrosomia and amniotic fluid too much respectively for 10， 30 cases， 6 cases， 1 and 0， after analysis and comparison， the difference is statistically significant (χ2=7.945、8.348、4.029、7.234、5.023，P < 0.05). Conclusion For gestational diabetes， the need for strict control of blood glucose levels， the timing of delivery should choose 37 to 40 weeks pregnant， promote fetal lung maturity to good effect， but it is difficult to evaluate lung maturity， it can be carried out prior to the termination of pregnancy amniotic fluid foam test.
[Key words] Gestational diabetes； Diet therapy； Blood sugar
妊娠期糖尿病(GDM)是一种多发产科并发症[1]。目前，GDM的发生率一般为1%～14%。妊娠期糖尿病较为复杂，对孕妇进行血糖控制后，可明显降低围产儿的死亡率[2]。有效控制血糖仍然是妊娠妊娠期糖尿病患者的重中之重。为此，该研究方便选择该院2015年1—12月间收治的40例GDM患者进行饮食治疗，并对结果进行分析，现报道如下。 (马慧冰)
[关键词] 妊娠期糖尿病；饮食治疗；血糖
[中图分类号] R587.1 [文献标识码] A [文章编号] 1674-0742(2016)08(c)-0014-03
Study on Diet Therapy for Patients with Gestational Diabetes
MA Hui-bing
Department of Obstetrics and Gynecology， Nanping Maternal and Child Health-Care Hospital， Fujian Province，Nanping，Fujian Province，353000 China
[Abstract] Objective To study diet therapy for patients with gestational diabetes. Methods Convenient selection 40 cases of patients with gestational diabetes were selected from January 2015 to December 2015 in our hospital treated as observation group with normal maternal 40 cases observed in patients as control group. Patients in control group were treated without dietary regimen.They were treated with health care professionals oral guidance. Patients in observation group were evaluated first by nutritionists， and the patient's height and weight data， take appropriate dietary regimen. Blood glucose and delivery methods and complications of the two groups were observed. Results Compared with the previous treatment， fasting glucose， respectively (4.89 ± 2.32) mmol/L after 2 h postprandial blood glucose after treatment (5.17 ± 2.67) mmol/L， comparative analysis， the difference was statistically significant (t= 9.293，8.068，P <0.05). Compared with control group， observation group of cesarean section and vaginal delivery， gestational period hypertension， macrosomia and amniotic fluid too much respectively for 10， 30 cases， 6 cases， 1 and 0， after analysis and comparison， the difference is statistically significant (χ2=7.945、8.348、4.029、7.234、5.023，P < 0.05). Conclusion For gestational diabetes， the need for strict control of blood glucose levels， the timing of delivery should choose 37 to 40 weeks pregnant， promote fetal lung maturity to good effect， but it is difficult to evaluate lung maturity， it can be carried out prior to the termination of pregnancy amniotic fluid foam test.
[Key words] Gestational diabetes； Diet therapy； Blood sugar
妊娠期糖尿病(GDM)是一种多发产科并发症[1]。目前，GDM的发生率一般为1%～14%。妊娠期糖尿病较为复杂，对孕妇进行血糖控制后，可明显降低围产儿的死亡率[2]。有效控制血糖仍然是妊娠妊娠期糖尿病患者的重中之重。为此，该研究方便选择该院2015年1—12月间收治的40例GDM患者进行饮食治疗，并对结果进行分析，现报道如下。 (马慧冰)