个体化饮食治疗用于妊娠期糖尿病的效果观察

Effect of individualized diet therapy on gestational diabetes mellitus

目的 分析个体化饮食治疗对妊娠期糖尿病患者的临床价值.方法 分析妊娠期糖尿病患者120例的临床资料,对患者实施个体化饮食治疗,比较治疗前后三酰甘油（TG）、糖化血红蛋白（HbAlc）、餐后2 h血糖（2hPBG）、空腹血糖（FBG）指标的变化.结果 经个体化饮食治疗,总有效率为95.83%;治疗前TG、HbAlc、PBG、FBG分别为（3.28±0.57）mmol/L、（11.59±1.48）%、（12.52±3.32）mmol/L、（10.59±1.60）mmol/L,治疗后TG、HbAlc、PBG、FBG分别为（6.49±1.48）mmol/L、（7.01±1.17）%、（7.60±3.08）mmol/L、（1.40±0.51）mmol/L,治疗前后差异均有统计学意义（t=20.856、20.599、9.218、15.961,均P〈0.05）.结论 个体化饮食治疗用于妊娠期糖尿病具有显著的临床效果,能改善TG、HbAlc、PBG、FBG指标,控制患者血糖,提高总有效率,延缓妊娠期糖尿病进展,改善妊娠结局.

Objective To analyze the clinical value of individualized diet therapy in the treatment of gestational diabetes mellitus（DM）.Methods The clinical data of 120 patients with gestational DM with individualized diet treatment were retrospectively analyzed.Before and after treatment,the three glycerol（TG）,glycosylated hemoglobin（HbAlc）,2h postprandial blood glucose（2hPBG）,fasting blood glucose（FBG） changes were compared.ResultsThe total effective rate of individual diet therapy was 95.83%.Before treatment,TG,HbAlc,PBG and FBG were （3.28±0.57）mmol/L,（11.59±1.48）% and （12.52±3.32）mmol/L,（10.59±1.60）mmol/L,respectively;which after treatment were （6.49±1.48）mmol/L,（7.01±1.17）% and （7.60±3.08）mmol/L,（1.40±0.51）mmol/L,respectively.The differences between before and after treatment were statistically significant（t=20.856,20.599,9.218,15.961,all P〈0.05）.Conclusion Individualized diet therapy for gestational DM has significantly clinical effect,can improve the TG,HbAlc,PBG,FBG index,glycemic control,improve the total efficacy,delay the progress of gestational diabetes,improve the outcome of pregnancy.