常规治疗联合个体化营养治疗对妊娠期糖尿病患者血糖控制及妊娠结局的影响研究

Study on the Effect of Conventional Therapy Combined with Individualized Nutrition Therapy on Blood Glucose Control and Pregnancy Outcome in Patients with Gestational Diabetes

目的分析妊娠糖尿病患者施以常规治疗联合个体化营养治疗对血糖管理效果及妊娠结局的影响。方法选取该院2020年2月—2021年4月收治的100例妊娠期糖尿病患者作为研究对象,随机法对患者分组,对照组(n=50)及观察组(n=50)分别施以常规治疗及常规治疗联合个体化营养治疗,观察患者干预前后的血糖水平及妊娠结局、焦虑、抑郁状态。结果干预后,观察组患者的空腹血糖、餐后2 h血糖均低于对照组,差异有统计学意义(P<0.05);观察组不良妊娠结局率为4.00%,对照组不良妊娠结局率为22.00%,观察组低于对照组,差异有统计学意义(P<0.05);干预后,观察组SAS及SDS评分低于对照组,差异有统计学意义(P<0.05)。结论在妊娠糖尿病患者治疗过程中,采取常规治疗联合个体化营养治疗,有利于改善患者血糖水平,降低不良妊娠结局发生率,调整焦虑及抑郁状态,该联合治疗模式具有临床应用价值。

Objective Analyze the effects of conventional treatment combined with individualized nutritional therapy on blood glucose management and pregnancy outcome in patients with gestational diabetes.Methods 100 cases of gestational diabetes mellitus admitted to the hospital from February 2020 to April 2021 were selected as subjects.The patients were randomly divided into two groups.The control group(n=50) and the observation group(n=50) were treated with routine treatment and routine treatment combined with individualized nutritional therapy respectively.The blood glucose level,pregnancy outcome,anxiety and depression state before and after intervention were observed.Results After the intervention,the fasting blood glucose and the 2 h postprandial blood glucose level of the observation group were lower than those of the control group,and the difference was statistically significant( P <0.05);the adverse pregnancy outcome rate of the observation group was 4.00%,the adverse pregnancy outcome rate of the control group was 22.00%,and the observation group was lower than the control group,and the difference was statistically significant(P<0.05);after the intervention,the SAS and SDS scores of the observation group were lower than those of the control group,and the difference was statistically significant(P<0.05).Conclusion In the treatment of gestational diabetes mellitus,routine treatment combined with individualized nutritional therapy is beneficial to improving the blood glucose level,reducing the incidence of adverse pregnancy outcomes,and adjusting the state of anxiety and depression.