个体化饮食指导在妊娠合并糖尿病患者中的重要性分析

The importance analysis of individualized diet guidance on gestational diabetes mellitus

目的:探析个体化饮食指导在妊娠合并糖尿病患者中的重要性。方法:选取2016年1月-2017年12月入我院接受妇产科检查并建档的50例妊娠糖尿病患者作为研究对象,所有病例均对此次研究知情,并同意参与到研究中,患者均符合妊娠糖尿病诊断标准,同时排除有既往糖尿病史者,根据计算机随机数字表格方式将患者分为试验组、对照组两个组别,病例数均为25例,检测出病情后所有患者都接受基础治疗,对照组给予常规口头饮食指导干预,试验组给予患者个性化饮食指导,观察病人血糖控制情况、妊娠结局等。结果:试验组患者血糖控制情况优于对照组(P<0.05);试验组妊娠期孕妇体重增长值及新生儿体重都较对照组更轻(P<0.05);试验组不良妊娠结局发生率较对照组低(P<0.05)。结论:妊娠糖尿病患者接受个性化饮食指导,有助于更好控制血糖,以防孕期体重过快增长,进而可对妊娠结局起到了积极影响作用。

Objective:To explore the importance of the individual diet guidance in patients with gestational diabetes mellitus.Methods:50 patients with gestational diabetes mellitus during the period of obstetrics and gynecology treated in our hospital from January 2016 to December 2016 were selected as the research subjects and accepted inspections and documentation,all patients agreed to participate in the study,patients were diagnosed gestational diabetes mellitus,and no history of diabetes,according to the computer random digital form,all the patients were divided into the experimental group and the control group,with 25 cases in each group.All patients received foundation treatment,the control group was given conventional oral dietary guidance intervention,the experimental group was give personalized dietary guidance,the patient blood sugar and pregnancy outcome of two groups were observed.Results:The blood glucose control in the experimental group was better than that in the control group(P<0.05).The weight gain of pregnant women in the experimental group was lower than that in the control group(P<0.05).The incidence of adverse pregnancy outcomes in the experimental group was lower than that in the control group(P<0.05).Conclusion:Gestational diabetes patients receiving personalized dietary guidance could help to better control blood glucose and prevent excessive weight gain during pregnancy,which had a positive effect on the pregnancy outcome.