饮食控制结合糖尿病筛查对妊娠期糖尿病患者血糖值及胎儿发育情况的影响

Effects of diet control combined with diabetes screening on blood glucose and fetal development in patients with gestational diabetes

目的探究饮食控制结合糖尿病筛查对妊娠期糖尿病(GDM)患者血糖值及胎儿发育情况的影响。方法选取400例行口服葡糖糖耐量试验(OGTT)筛查并参加糖尿病一日门诊的GDM患者,根据随机数字表法分为研究组(274例)与对照组(126例)。对照组采用常规治疗配合饮食教育,研究组在对照组基础上采用饮食指导结合糖尿病筛查。比较两组患者干预前后血糖值、胎儿及患者不良结局发生率。结果干预前,两组患者血糖值比较,差异无统计学意义(P>0.05);干预后,两组血糖值均降低,且研究组低于对照组,差异有统计学意义(P<0.05)。研究组新生儿不良结局发生率为10.58%,低于对照组的24.60%,差异具有统计学意义(P<0.05)。研究组患者不良结局发生率低于对照组,差异具有统计学意义(P<0.05)。结论饮食控制结合糖尿病筛查可控制GDM患者血糖值,减少母婴不良结局发生率,具有积极意义。

Objective To explore the effects of diet control combined with diabetes screening on blood glucose and fetal development in patients with gestational diabetes mellitus(GDM).Methods 400 GDM patients who underwent oral glucose tolerance test(OGTT)screening and participated in one-day diabetes clinic were selected and divided into research group(274 cases)and control group(126 cases)according to random number table method.The control group received conventional treatment combined with diet education,and the research group received diet guidance combined with diabetes screening on the basis of the control group.Blood glucose levels,incidence of fetal and patient adverse outcomes before and after intervention were compared between the two groups.Results Before intervention,there was no significant difference in blood glucose between the two groups(P>0.05).After intervention,blood glucose levels in both groups decreased,and the research group was lower than the control group,the difference was statistically significant(P<0.05).The incidence of adverse outcomes in neonates in the research group was 10.58%,lower than 24.60% in the control group,and the difference was statistically significant(P<0.05).The incidence of adverse outcomes in research group was lower than that in control group,and the difference was statistically significant(P<0.05).Conclusion Dietary control combined with diabetes screening can control blood glucose in GDM patients and reduce the incidence of adverse outcomes,which has positive significance.