个体化膳食营养指导协同睡眠干预在妊娠期糖尿病中的效果分析

Effect of Individualized Dietary Nutrition Guidance Combined with Sleep Intervention in Diabetes During Pregnancy

目的:分析个体化膳食营养指导协同睡眠干预在妊娠期糖尿病(GDM)中的干预效果。方法:选取2021年5月至2022年5月厦门大学附属第一医院收治的GDM患者102例作为研究对象,按照随机数字表法分为对照组和观察组,每组51例。对照组行常规干预,观察组在对照组的基础上行个体化膳食营养指导,2组均干预至分娩结束。比较2组干预前后糖脂代谢、营养指标以及睡眠质量的差异性,并记录不良分娩结局。结果:干预后,观察组空腹血糖(FPG)、餐后2 h血糖(2 h PG)、三酰甘油(TG)均低于对照组,差异均有统计学意义(均P<0.05)。观察组各睡眠质量指标评分以及总分均较对照组更低,差异均有统计学意义(均P<0.05)。2组不良分娩结局发生率分别为25.48%和9.80%,观察组低于对照组,差异有统计学意义(P<0.05)。结论:个体化膳食营养指导协同睡眠干预可有效调控GDM患者糖脂代谢,改善睡眠状况,降低不良分娩结局发生率。

Objective:To analyze the effect of individualized dietary nutrition guidance combined with sleep intervention in gestational diabetes mellitus(GDM).Methods:A total of 102 GDM patients who visited our hospital from May 2021 to May 2022 were randomly divided into a control group and an observation group,with 51 patients in each group.The control group received routine intervention,while the observation group received individualized dietary nutritional guidance on the basis of the control group.Both groups received intervention until the end of delivery.Compare the differences in glucose and lipid metabolism,nutritional indicators,and sleep quality between the two groups before and after intervention,and record adverse delivery outcomes.Results:After intervention,the fasting plasma glucose(FPG),2 hour postprandial plasma glucose(2 h PG)and triacylglycerol(TG)in the observation group were lower than those in the control group(P s<0.05).After intervention,the sleep quality index scores and total scores of the observation group were lower than those of the control group(P s<0.05).The incidence of adverse delivery outcomes in the two groups was 25.48%and 9.80%,with the observation group being lower than the control group(P<0.05).Conclusion:Individualized dietary nutrition guidance combined with sleep intervention can effectively regulate glucose and lipid metabolism in GDM patients,improve sleep conditions,and reduce the incidence of adverse delivery outcomes.