饮食指导对妊娠期糖尿病患者血糖水平及妊娠结局的影响.docxVIP

饮食指导对妊娠期糖尿病患者血糖水平及妊娠结局的影响 Effect of Dietary Guidance on Blood Glucose Level and Pregnancy Outcome of Gestational Diabetes LIN Shu-hua Department of Gynecology， Zhangzhou Hospital of Traditional Chinese Medicine， Zhangzhou， Fujian Province， ***** China [Abstract] Objective To explore the effect of dietary guidance on blood glucose levels and pregnancy outcomes in patients with gestational diabetes mellitus （GDM）. Methods 86 patients with GDM who were treated in the hospital from October 2017 to October 2019 were randomly divided into a research group （n=43） and a control group （n=43）. The control group received routine care. The study group added dietary guidance on the basis of the control group， compared changes in blood glucose levels before and after intervention between the two groups， and compared pregnancy outcomes and nursing satisfaction between the two groups. Results After intervention， the fasting blood glucose （FPG）， 2 h postprandial blood glucose （2 hPG） and glycated hemoglobin （HbA1c） levels in the study group were lower than those before the intervention and the control group， and the difference was statistically significant（P0.05）; The incidence of pregnancy outcomes was significantly lower than the control group， while the nursing satisfaction was significantly higher than the control group， the difference was statistically significant （P0.05）. Conclusion GDM patients with dietary guidance can significantly reduce their blood sugar levels， improve their pregnancy outcomes， and encourage patients to recognize nursing services more. [Key words] Gestational diabetes; Dietary guidance; Blood glucose level; Pregnancy outcome 妊娠期糖尿病（GDM）是指妊娠前糖代謝正常，妊娠期才出现的糖尿病。目前GDM的临床发病率高达10%左右，且近年来呈逐年上升的趋势。如果未及时地给予有效诊治，可能会造成胎儿宫内发育异常、宫内窘迫甚至死胎等严重后果。妊娠中晚期属于GDM的高风险期，此期间患者糖耐量明显降低，但糖耐量仍存在一定可逆性。有研究指出，在妊娠中晚期给予GDM患者有效的饮食指导可改善患者糖耐量、减轻胰岛素抵抗，从而改善患者妊娠结局。该研究于202X年10月—202X年10月对43例GDM患者进行饮食指导，观察其对患者血糖、妊娠结局的影响，报道如下。 1 资料与方法 1.1 一般资料 选取在该院接受治疗的86例GDM患者，随