糖尿病预进餐专用营养粉对妊娠糖尿病患者血糖的影响研究

Effects of Diabetes-specific Pre-meal Nutrition Powder on Blood Glucose Level and Pregnancy Outcome of Gestational Diabetes Mellitus Patients

目的:探讨糖尿病专用营养粉对妊娠糖尿病患者血糖及妊娠结局的影响。方法:收集第三军医大学新桥医院妇产科门诊确诊为妊娠糖尿病患者66例,按照随机病例编号奇偶数分为干预组和对照组,每组33例,分别给予不同营养干预方式,然后比较2组患者干预前及分娩前空腹血糖(FBG)、餐后2h血糖(2h PBG)水平以及患者分娩方式、新生儿出生体重等之间的差异。结果:营养干预前空腹血糖、餐后2h血糖无差异(P>0.05);分娩前空腹血糖、餐后血糖均有显著差异(P<0.01);干预前和分娩前空腹血糖变化幅度以及餐后2h血糖变化幅度均有显著差异(分别为P<0.05和P<0.01);新生儿体重和孕妇分娩方式等均无明显差异(P>0.05)。结论:糖尿病预进餐专用营养粉对辅助控制妊娠糖尿病患者空腹血糖及餐后血糖水平有益。

Objective To investigate the effects of diabetes-specific pre-meal nutrition powder on blood glucose level and pregnancy outcome of gestational diabetes mellitus（ GDM） patients. Method Totally 66 diagnosed cases of GDM were randomly selected from gynecology and obstetrics outpatient of Xinqiao Hospital in Chongqing,which were equally divided into case group（ 33 cases） and control group（ 33 cases） according to different nutritional intervention,then we made comparison before intervention and delivery between the two groups on fasting blood glucose（ FBG）,2 h postprandial blood glucose（ 2h PBG）,delivery mode,and neonatal birth weight. Result Compared with the control group,the case group showed no difference on FBG or PBG before nutritional intervention（ P 0. 05）,while before delivery,FBG and 2h PBG were significantly different（ P 0. 01）. Amplitude of variations in FBG and 2h PBG before nutritional intervention and delivery were significantly different（ P0. 05 and P 0. 01 respectively）,while time of hospitalization,delivery mode,neonatal birth weight had no significant difference（ P 0. 05）.Conclusion Inzone vitality could decrease FBG and 2h PBG of gestational diabetic,especially the PBG level,however,no significant effects on neonatal birth weight or pregnancy outcome were observed. Inzone vitality could be used as a routine nutritional intervention in GDM.