营养门诊干预对妊娠糖尿病患者血糖的影响  

Effect of outpatient nutritional intervention on blood glucose of gestational diabetes mellitus

作　　者：张敏[1] 瞿美娣[1] 顾红柳[1] 沙琦[1] 蒋晓红[1] 

机构地区：[1]苏州大学附属第三医院临床营养科,江苏常州213003

出　　处：《中外女性健康研究》2016年第21期3-4,20,共3页Women＇s Health Research

摘　　要：目的:比较两种不同营养门诊干预方法对妊娠糖尿病(GDM)患者血糖的影响。方法:将明确诊断为GDM的80例孕妇随机分为干预组和对照组,干预组在饮食指导的基础上辅以运动指导,干预B组为单纯饮食指导,两组均通过膳食问卷调查分析患者的饮食结构,实施不同的个体化饮食干预,每周进行一次电话随访监督患者的执行情况,一月后监测空腹血糖(FPG)、餐后两小时血糖(2hPG)、糖化血红蛋白(HbAlc)的数值变化,并与干预前的指标进行比较。结果:1)两组GDM患者干预前饮食结构均不合理,干预后奶类、豆类、鱼类、粗粮、蔬菜摄入量明显增加,油脂、畜肉、细粮摄入量明显减少,P<0.05。2)GDM患者经个体化营养干预,所有孕妇FPG、2hPG、HbAlc较干预前水平有所下降,差异有统计学意义(P<0.05),干预组较对照组更有效的降低GDM血糖水平,差异具有统计学意义(P<0.05)。结论:两组营养门诊干预方法均有效改善GDM患者膳食结构,降低血清FPG、2hPG、HbAlc水平,其中饮食指导结合运动疗法效果更为显著。Objective：Contrast the effects of two different outpatient nutrition intervention plans on the blood glu- cose of patients with gestational diabetes. Methods.. Eighty pregnant women diagnosed with GDM were randomly se- lected as the research objects and.put into the treatment group and the control group, the treatment group received dietary guidance as a foundation as well as sports therapy, the control group only received dietary interventions, then a dietary survey was given to both two groups to analyze the diet composition of the patients, utilizing different indi- vidualized diet intervention,every week taken a phone interview to monitor the progress of the patients, one month later,the F-PG,2hPG,and HbAlc＇s change in value, along with the results from the pre-consultation will be com- pared. Results. I）The p re-consultation diet composition of the two groups of GDM patients was unreasonable, after the intervention, the intake of dairy products, beans, fish, whole grains, and vegetables significantly increased, cho- lesterol, meat, flour and rice intake significantly decreased, P〈0.05.2） The FPG, 2hPG, HbAlc levels of GDM pa- tients with individualized interventions, all pregnant women, had dropped compared with pre-consultation levels, the difference had statistical significance（ P〈0.05）, the difference in blood sugar levels of the two groups also has sta- tistical significance（ P 〈0.05）. Conclusion.. The two outpatient nutrition interventions are effective in affecting the diet composition of the GDM, lower the blood serum, FPG, 2hPG, HbAlc levels, dietary guidance combines with physical therapy is significantly more effective.

关 键 词：妊娠糖尿病 营养门诊干预 饮食控制 膳食结构 

分 类 号：R714.256[医药卫生—妇产科学]