分析个体化医学营养治疗应用在妊娠期糖尿病患者中对其血糖以及母婴结局的影响

Effects of Individualized Medical Nutrition Therapy on Blood Glucose and Maternal and Infant Outcomes in Patients with Gestational Diabetes Mellitus

目的评析妊娠期糖尿病患者采取个体化医学营养治疗对于改善血糖和母婴结局的有效性。方法选取2021年1—12月期间菏泽市牡丹人民医院就诊的78例妊娠期糖尿病患者为研究对象,根据随机数表法分为两组,每组39例。对照组提供传统干预,观察组提供个体化医学营养治疗,将两组患者血糖和母婴结局开展对比。结果观察组空腹血糖(5.32±1.08)mmol/L、餐后2 h血糖(9.00±2.05)mmol/L、糖化血红蛋白(6.23±1.56)%均低于对照组,差异有统计学意义(P<0.05)。观察组总胆固醇(3.21±0.79)mmol/L、三酰甘油(1.13±0.25)mmol/L、低密度脂蛋白胆固醇(2.31±0.48)mmol/L低于对照组,差异有统计学意义(P<0.05)。观察组胎儿宫内窘迫(2.56%)、早产(5.13%)、新生儿窒息(0.00%)、巨大儿(0.00%)、新生儿低血糖(0.00%)、产后出血(2.56%)均低于对照组,差异有统计学意义(P<0.05)。结论妊娠期糖尿病患者施行个体化医学营养治疗的效果突出,有利于控制血糖,改善母婴结局。

Objective To evaluate the effectiveness of individualized medical nutrition therapy in improving blood glucose and maternal and infant outcomes in patients with gestational diabetes.Methods A total of 78 patients with gestational diabetes mellitus treated in He Ze Mudan People's Hospital from January to December 2021 were selected as research objects and divided into two groups according to random number table method,with 39 patients in each group.The control group was provided with traditional intervention,and the observation group was provided with individualized medical nutrition therapy.Blood glucose and maternal and infant outcomes were compared between the two groups.Results Fasting blood glucose(5.32±1.08)mmol/L,2-hour postprandial blood glucose(9.00±2.05)mmol/L and HBA1c(6.23±1.56)%in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).The total cholesterol(3.21±0.79)mmol/L,triacylglycerol(1.13±0.25)mmol/L and low-density lipoprotein cholesterol(2.31±0.48)mmol/L in the observation group were lower than those in the control group,and the difference was statistically significant(P<0.05).Fetal distress(2.56%),premature delivery(5.13%),neonatal asphyxia(0.00%),macronesia(0.00%),neonatal hypoglycemia(0.00%)and postpartum hemorrhage(2.56%)in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusion The effect of individualized medical nutrition treatment for gestational diabetes mellitus is outstanding,which is beneficial to control blood sugar and improve maternal and infant outcomes.