个体化营养治疗(MNT)对妊娠糖尿病(GDM)患者血糖控制及妊娠结局的影响分析

Analysis of the Influence of Individualized Nutritional Therapy(MNT)on Blood Glucose Control and Pregnancy Outcome in Patients with Gestational Diabetes(GDM)

目的讨论个体化营养治疗(MNT)对妊娠糖尿病患者血糖控制及妊娠结局的影响效果。方法选择2019年1月—2020年10月,搜集患者库GDM患者并选出89例分两组,对照组(n=44)坚持饮食干预,观察组(n=45)行MNT。对两组患者的血糖控制、体质量(BMI)控制、妊娠结局进行对比。结果MNT控制结果对比血糖[空腹血糖(FPG)、饭后2 h血糖(2 hPG)]、BMI,观察组治疗后FPG、2 hPG、BMI数值相对于对照组均较优,差异有统计学意义(t=7.395、4.950、4.373,P<0.05);妊娠结局对比并发症、早产、剖宫产等情况,观察组并发症总发生率、早产率、剖宫产率相对于对照组均较低,差异有统计学意义(P<0.05);母婴结局对比新生儿出生时Apgar、产妇生活质量(ADL),观察组数值相对于对照组均较高,差异有统计学意义(P<0.05)。结论MNT对于GDM患者效果显著,有助于血糖、BMI控制,可降低妊娠并发症发生率,减少早产、剖宫产,改善母婴结局。

Objective Discuss the effect of individualized nutritional therapy(MNT)on blood glucose control and pregnancy outcome in patients with gestational diabetes(GDM).Methods The patient database of GDM patients from January 2019 to October 2020 was collected and 89 cases were selected and divided into two groups.The control group(n=44)insisted on diet intervention,and the observation group(n=45)underwent MNT.Summarize and compare blood glucose control,body mass(BMI)control,pregnancy outcome.Results MNT control results compared blood glucose[fasting blood glucose(FPG),2 h blood glucose after meal(2 hPG)]and BMI.The FPG,2 hPG and BMI values of the observation group after treatment were better than those of the control group,the difference was statistically significant(t=7.395,4.950,4.373,P<0.05);pregnancy outcome complications,premature birth,cesarean section,etc.The total incidence of complications,premature birth rate,and cesarean section rate in the observation group were lower than those in the control group,the difference was statistically significant(P<0.05);the maternal and infant outcomes were compared with Apgar at birth and parturient,the quality of life(ADL)was higher in the observation group than in the control group,the difference was statistically significant(P<0.05).Conclusion MNT has a significant effect on GDM patients,helps control blood glucose and BMI,reduces the incidence of pregnancy complications,reduces premature delivery and cesarean section,and improves maternal and infant outcomes.