早期营养干预对妊娠合并糖尿病患者血糖及妊娠结局的影响

Effect of Early Nutritional Intervention on Blood Glucose and Pregnancy Outcome in Patients with Gestational Diabetes Mellitus

目的探讨早期营养干预对妊娠合并糖尿病患者血糖及妊娠结局的影响。方法选择我院收治的妊娠合并糖尿病患者46例分为干预组(n=23)和常规组(n=23)。常规组采取常规干预,干预组在常规干预基础上采取早期营养干预,比较两组患者在干预后不同时间FPG值、营养状况及并发症等变化情况。结果干预组孕28周、32周、36周及40周FPG值与常规组比较有统计学差异(P<0.05);干预后,干预组营养状况指标与常规组比较有统计学差异(P<0.05);干预组患者并发症发生率低于常规组(P<0.05)。结论早期营养干预可以有效控制妊娠合并糖尿病患者的血糖,能减少妊娠并发症的发生率,并能合理提高患者的营养状况,值得临床推广使用。

Objective To investigate the effect of early nutritional intervention on blood glucoseand pregnancy outcome in patients with gestational diabetes mellitus.Methods 46 patients with gestational diabetes mellitus admitted to our hospital were divided into intervention group(n=23)and routine group(n=23).Routine group received routine intervention,based on this,intervention group received early nutritional intervention.The changes of FPG,nutritional status and complications at different time after intervention were compared between groups.Results At 28,32,36 and 40 weeks of gestation,FPG showed significant difference between groups(P<0.05).The nutritional status was significantly different between groups after intervention(P<0.05).The incidence of complications in the intervention group was significantly lower than that in the routine group(P<0.05).Conclusion Early nutritional intervention can effectively control the blood glucoseof patients with gestational diabetes mellitus,reduce the incidence of complications,and improve the nutritional status,which is worthy of clinical application.