个体化饮食控制对妊娠期糖尿病患者治疗结局的影响  

Effect analysis of individualized diet control on the treatment outcome of patients with gestational diabetes mellitus

作　　者：李海滨 赖敬波[2] 

机构地区：[1]陕西省岐山县医院内分泌科,陕西宝鸡722400 [2]陕西省第四军医大学西京医院内分泌代谢科,陕西西安710032

出　　处：《临床医学研究与实践》2016年第26期23-24,共2页Clinical Research and Practice

摘　　要：目的探讨个体化饮食控制对妊娠期糖尿病患者的临床疗效。方法选取我院2011年2月至2016年2月收治的40例妊娠期糖尿病患者为研究对象。将2013年8月之前收治的20例患者作为对照组,给予常规的临床治疗;将2013年8月之后收治的20例患者作为研究组,在对照组的基础上联合给予个体化饮食控制。观察两组患者治疗前后的空腹血糖(FBG)、餐后2 h血糖(2 h PBG)及糖化血红蛋白(Hb Alc)水平变化及治疗结局。结果治疗前两组患者的FBG、2 h PBG及Hb Alc水平比较,差异无统计学意义(P>0.05),治疗后两组患者的FBG、2 h PBG及Hb Alc水平均降低,但研究组降低幅度明显优于对照组(P<0.05);治疗后研究组出现妊高症1例,羊水过多1例,早产1例,对照组出现妊高症5例,羊水过多6例,早产5例,产后出血4例,产褥感染3例,研究组治疗后并发症发生率明显低于对照组(P<0.05)。结论对妊娠期糖尿病患者采用个体化饮食控制,能有效改善患者的血糖、糖化血红蛋白水平,降低并发症的发生率,值得临床推广及应用。Objective To investigate the clinical effect of individualized diet control on the treatment outcome of patients with gestational diabetes mellitus. Methods Forty cases of patients with gestational diabetes mellitus admitted in our hospital from February 2011 to February 2016 were collected as study objects, 20 cases treated before August 2013 were given routine clinical treatment as control group, and 20 cases treated after August 2013 combined individual diet on the basis of the control group as study group. The changes of fasting blood glucose （FBG）, postprandial 2 h blood glucose （2 h PBG）, glycosylated hemoglobin （HbAlc） levels and treatment outcome in the two groups before and after the treatment were observed. Results The differences of FBG, 2 h PBG and HbAlc levels in two groups before treatment were not significant （P〉O.05）. After treatment, FBG, 2 h PBG and HbAlc levels in two groups were all decreased. Decrease amplitude in the study group was significantly better than that in the control group （P〈O.05）. There were 1 case of pregnancy induced hypertension syndrome, 1 case of polyhydramnios and 1 case of premature birth in the study group after treatment. In the control group, there were 5 cases of pregnancy induced hypertension syndrome, 6 cases of polyhydramnios, 5 cases of premature birth, 4 cases of postpartum hemorrhage and 3 cases of puerperal infection. The occurrence rate of comlications in the study group was significantly lower than that in the control group （P〈0.05）. Conclusion For patients with gestational diabetes mellitus, individualized diet control can effectively improve the blood glucose and glycosylated hemoglobin level and reduce the incidence of complications, which is worthy to be popularized and applied.

关 键 词：个体化饮食控制 妊娠期糖尿病 空腹血糖 餐后2 h血糖 糖化血红蛋白 

分 类 号：R587.1[医药卫生—内分泌]