饮食控制应用于妊娠糖尿病患者中治疗效果分析.docVIP

饮食控制应用于妊娠糖尿病患者中治疗效果分析 　　[摘要] 目的 探讨饮食控制对于妊娠期糖尿病患者的临床疗效。方法 选取2013年1月―2013年12月，该院就诊的妊娠期糖尿病患者64例，按照随机数字表法分成两组：对照组32例接受常规治疗，观察组32例在对照组的基础上接受个性化饮食控制，对比两组的血糖水平变化及妊娠结局。结果 治疗后两组的空腹血糖（FPG）、三餐后2 h血糖（2 hPG）及晚10点血糖水平均显著降低，且观察组显著低于对照组（Plt;0.05）;观察组的剖宫产率为21.88%，显著低于对照组的62.50%（Plt;0.05）;观察组的母婴并发症发生率均显著低于对照组（Plt;0.05）。 结论 对妊娠期糖尿病患者开展个性化饮食控制有利于提高血糖控制效果，减少母婴并发症，改善妊娠结局，值得推广应用。 　　[关键词] 妊娠期糖尿病;饮食控制;妊娠结局 　　[中图分类号] R4 [文献标识码] A [文章编号] 1672-4062（2016）01（a）-0105-03 　　Analysis of the Treatment Effect of Alimentary Control Applied in Gestational Diabetes Mellitus 　　LIU Xiu-jun 　　Hebei yutian county family planning center hospital of obstetrics and gynecology，Tangshan，Hebei Province，064100 China 　　[Abstract] Objective To investigate the clinical efficacy of the alimentary control for gestational diabetes mellitus. Methods From January 2013 to December 2013， 64 cases of gestational diabetes mellitus in our hospital were collected，all were divided into two groups according to the random number table： 32 patients in control group received conventional treatment， 32 patients in observation group received alimentary control on the basis of the control group，the blood glucose levels and pregnancy outcome of the two groups were compared. Results After treatment， the fasting plasma glucose （FPG）， 2 h plasma glucose after meals （2 hPG） and 10pm blood glucose levels in both groups were significantly reduced， and the observation group were significantly lower than the control group （Plt;0.05）; The cesarean rate of observation group was 21.88%， significantly lower than 62.50% in the control group （Plt;0.05）; The incidence of maternal complications in observation group was significantly lower than the control group （P lt;0.05）. Conclusion The application of alimentary control for gestational diabetes mellitus will help improve glycemic control effect， reduce maternal complications and improve pregnancy outcomes，should be widely applied. 　　[Key words] Gestational diabetes; Alimenta