医学营养治疗模式在妊娠期糖尿病的治疗效果分析  

Analysis of MNT's therapeutic effects on GDM

作　　者：周锦扬[1] 

机构地区：[1]广州市第一人民医院营养科,510180

出　　处：《广州医药》2013年第6期17-19,共3页Guangzhou Medical Journal

摘　　要：目的探讨医学营养治疗模式在妊娠期糖尿病(GDM)孕妇中的治疗效果。方法确诊单纯GDM患者100例按就诊顺序进行编号,单号为观察组(n=50),双号为对照组(n=50)。观察组采用医学营养治疗模式(饮食+运动),对照组采用单纯饮食治疗模式,治疗周期为4周,治疗前1天及治疗4周后均检测空腹血糖(FPG)、餐后2小时血糖(2HPG)、糖化血红蛋白(HbA1c)。结果观察组FPG、2HPG、HbA1c水平治疗后较治疗前下降,差异有统计学意义(P<0.05);对照组FPG、2HPG治疗后较治疗前水平有明显下降,差异有统计学意义(P<0.05),HbA1c差异无统计学意义(P>0.05);治疗后观察组FPG、2HPG、HbA1c水平较对照组下降,差异有统计学意义(P<0.05);血糖控制满意率观察组为98%,对照组为80%,观察组优于对照组,差异有统计学意义(P<0.05)。结论饮食加运动的医学营养治疗模式较单纯饮食治疗模式对GDM孕妇血糖的控制有更好疗效。Objective To probe into the therapeutic effects of Medical Nutrition Therapy （MNT） on pregnant women with gestational diabetes mellitus （GDM） Methods We numbered 100 patients diagnosed to have only GDM according to the sequence of their visiting to the hospital. Patients with odd numbers were divided into the observation group （ n = 50） ; while pa- tients with even numbers were included into the control group （n = 50）. MNT （dietary ＋ sportive treatments） and single dietary treatment were used for the observation group and Control group, respectively, with the treatment cycle spanning four weeks, and the fasting plasma glucose （FPG）, 2-hour plasma glucose （2HPG）, as well as glycated haemoglobin （HbAlc） of the patients were tested one day before the treatment and right after the four-week treatment. Results The FPG, 2HPG and HbAlc level of patients in the observation group had significantly dropped compared with that recorded before the treatment, and the differ- ences were statistically significant （ P 〈 0.05 ） ; the FPG and 2HPG level of the patients in the control group had apparently fallen with the differences being statistically significant （ P 〈 0. 05）, but HbA1 c was no difference of statistics （P 〉 0. 05 ） ; the FPG, 2HPG and HbAlc level of patients in the observation group was significantly lower than that of the patients in the control group, with differences being statistically significant （P 〈 0.05 ） ; satisfaction ratios of the two groups on blood glucose control stood at 98% and 80%, respectively, with satisfaction ratio much higher in the observation group than in the control group, and the differences were statistically significant （ P 〈 0. 05 ）. Conclusion The therapeutic effects brought by the MNT comprising dietary and sportive treatments were better than dietary treatment only in control of GDM.

关 键 词：妊娠期 糖尿病饮食治疗 营养 

分 类 号：R714.256[医药卫生—妇产科学]