个性化营养干预对妊娠期糖尿病的治疗作用

Personalized nutrition intervention for the treatment of gestational diabetes mellitus

目的探讨个性化营养干预对妊娠期糖尿病的疗效。方法选取2012年在兰州军区乌鲁木齐总医院门诊治疗的73例妊娠期糖尿病(gestational diabetes mellitus GDM)患者为研究对象。自愿接受个性化营养治疗的38例患者为干预组,只接受常规营养指导不愿接受个性化营养管理的35例患者为对照组,分析两组孕妇血糖水平变化及妊娠结局。结果个性化营养治疗前,两组空腹血糖及餐后血糖比较差异无统计学意义(P>0.05);干预组患者治疗10周后,空腹及餐后2 h血糖均较对照组下降明显(P<0.05);干预组患者妊娠期高血压疾病、羊水过多、剖宫产、巨大儿、低体重儿、新生儿低血糖等母婴并发症发生率明显低于对照组(P<0.05)。结论个性化营养治疗能有效控制孕期血糖,防止母婴并发症的发生,促进母婴健康。

Objective To investigate the effect of individual clinic nutrition intervention on gestational diabetes mellitus （ GDM） . Methods 73 GDM cases were chosen in Urumqi General Hospital, Lanzhou Military Area Command, PLA as study objects in 2012. Among these cases , 38 cases voluntarily accepted personalized nutrition treatment as intervention group;35 cases only took oral advice of nutrition rather than personalized nutritional management as control group .To analyze the blood glucose change and pregnancy outcomes of pregnant women of two groups .Results Before personalized nutrition intervention , comparing with the fasting and postprandial blood glucose , the differences had not statistical significance between two groups （P＆gt;0.05）.After ten weeks, there was an obvious decline in blood glucose of fasting and postprandial 2 h nutrition intervention in intervention group and the difference had statistical significance （ P 〈0.05 ） .The incidence of maternal and neonatal complications such as gestational hypertension , polyhydramnios , cesarean section , macrosomia , low-birth weight infants or neonatal hypoglycemia in intervention group were lower than control group , and the differences had statistical significance （ P 〈0.05 ） .Conclusion Personalized nutrition treatment can effectively control blood glucose during pregnancy , prevent the incidence of complications and promote maternal and child health .