围产期个体化饮食干预对妊娠期糖尿病患者妊娠结局的影响

Influence of of perinatal individualized dietary intervention on pregnancy outcome in gestational diabetes mellitus patients

目的探讨妊娠期糖尿病患者围产期接受个体化饮食干预对患者妊娠结局的影响。方法研究对象选取我院2015年7月~2017年7月产科诊治的100例妊娠期糖尿病产妇,将所有患者根据随机数字表法分为两组。对照组50例患者围产期实施常规饮食干预,观察组50例患者围产期接受个体化饮食干预,干预4个月后对比两组患者饮食计划依从性、血糖控制效果及妊娠结局。结果干预后,观察组患者饮食计划依从性优于对照组,血糖控制效果较对照组好,各不良妊娠结局发生情况较对照组少,差异均有统计学意义(P<0.05)。结论妊娠期糖尿病患者围产期接受个体化饮食干预效果较常规饮食干预好,患者饮食计划依从性明显提升,血糖控制效果理想,妊娠结局好。

Objective To investigate the influence of perinatal individualized dietary intervention on pregnancy outcome in gestational diabetes mellitus patients(GDM).Methods One hundred pregnant women with gestational diabetes mellitus were selected from July 2015 to July 2017.All the patients were divided into two groups according to the random number table method.The control group(50 cases)received routine dietary intervention during perinatal period,and the observation group(50 cases)received individualized dietary intervention during perinatal period.After 4 months of intervention,the compliance of diet plan,the effect of blood glucose control and the outcome of pregnancy were compared between the two groups.Results After intervention,the compliance of patients in the observation group was better than that in the control group,and the effect of blood glucose control was better than that in the control group.The incidence of adverse pregnancy outcomes was less than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Perinatal individual diet intervention is more effective than routine diet intervention for GDM patients,it can increase the diet plan compliance of patients,achieve satisfactory blood glucose control effect and good pregnancy outcome.