分析饮食习惯对妊娠期糖尿病控制及妊娠结局的影响

Analysis of the influence of dietary habits on gestational diabetes mellitus control and pregnancy outcome

目的分析饮食习惯对妊娠期糖尿病控制及妊娠结局的影响。方法选择136例妊娠期糖尿病患者为研究对象,采用随机数字表法分为对照组及研究组,每组68例。对照组采用常规干预,研究组在此基础上进行饮食控制。比较两组患者的血糖控制达标时间、血糖水平及母婴结局。结果研究组血糖控制达标时间为(7.35±1.21)d,短于对照组的(9.94±1.53)d,差异有统计学意义(P<0.05)。干预后,研究组空腹血糖、餐后2h血糖水平均低于对照组,差异有统计学意义(P<0.05)。研究组胎膜早破、羊水过多、产后出血、剖宫产、胎儿宫内窘迫等发生率均低于对照组,差异有统计学意义(P<0.05)。结论良好的饮食习惯可帮助妊娠期糖尿病患者控制血糖水平,改善母婴结局,值得临床推广使用。

Objective To analyze the influence of dietary habits on gestational diabetes mellitus control and pregnancy outcome.Methods 136 patients with gestational diabetes mellitus were selected as the study objects and were divided into a control group and a study group by random number table method,with 68 cases in each group.The control group was treated with routine intervention,and the study group was treated with diet control on this basis.The blood glucose control time,blood glucose levels and maternal and infant outcomes were compared between the two groups.Results The blood glucose compliance time of the study group was(7.35±1.21)d,which was shorter than(9.94±1.53)d of the control group,and the difference was statistically significant(P<0.05).After intervention,the fasting blood glucose and 2 h postprandial blood glucose levels in the study group were lower than those in the control group,the differences were statistically significant(P<o.05).The incidences of premature rupture of membranes,excessive amniotic fluid,postpartum hemorrhage,cesarean section and fetal distress in the study group was lower than that in the control group,the differences were statistically significant(P<0.05).Conclusion Good dietary habits can help patients with gestational diabetes mellitus control blood glucose level and improve maternal and infant outcomes,which is worthy of clinical promotion.