营养分析联合个性化饮食指导在妊娠期糖尿病中的价值分析  

The Value of Nutrition Analysis Combined with Individualized Dietary Guidance in Gestational Diabetes

作　　者：杨莉 YANG Li(Department of Nutrition,Affiliated Hospital of Putian College,Putian,Fujian Province,351100 China)

机构地区：[1]莆田学院附属医院营养科,福建莆田351100

出　　处：《糖尿病新世界》2022年第21期33-36,共4页Diabetes New World Magazine

摘　　要：目的 探讨营养分析联合个性化饮食指导在妊娠期糖尿病中的价值。方法 选取2020年1月—2022年2月期间莆田学院附属医院收治的74例妊娠期糖尿病患者展开调查,以抛硬币方式分组,每组37例。对照组采用常规饮食指导,观察组采用营养分析联合个性化饮食指导。比较两组血糖水平,统计两组孕妇并发症和围产儿并发症。结果 观察组空腹血糖(5.34±1.02)mmol/L、餐后2 h血糖(7.83±1.02)mmol/L、糖化血红蛋白(6.75±0.34)%低于对照组,差异有统计学意义(P<0.05);观察组孕妇并发症发生率(8.10%)低于对照组(29.73%),差异有统计学意义(P<0.05);观察组围产儿并发症发生率(5.41%)低于对照组(21.62%),差异有统计学意义(P<0.05)。结论 在妊娠期糖尿病的饮食指导中,落实营养分析联合个性化饮食指导能够对控制血糖起到辅助作用,能有效降低孕妇及围产儿并发症,改善妊娠结局,值得推广。Objective To explore the value of nutritional analysis combined with individualized diet guidance in diabetes during pregnancy.Methods From January 2020 to February 2022, 74 patients with gestational diabetes who were admitted to the Affiliated Hospital of Putian University were investigated. They were divided into groups by coin flipping, with 37 cases in each group. The control group was given routine diet guidance, while the observation group was given nutrition analysis combined with individualized diet guidance. The blood glucose levels of the two groups were compared, and the complications of pregnant women and perinatal infants were counted.Results Fasting blood glucose(5.34±1.02) mmol/L, blood glucose(7.83±1.02) mmol/L and glycosylated hemoglobin(6.75±0.34)% in the observation group were lower than those in the control group, and the difference was statistically significant(P<0.05).The complication rate of pregnant women in the observation group(8.10%) was lower than that in the control group(29.73%), and the difference was statistically significant(P<0.05). The incidence of perinatal complications in the observation group(5.41%) was lower than that in the control group(21.62%), and the difference was statistically significant(P<0.05).Conclusion In the diet guidance for gestational diabetes, the implementation of nutrition analysis combined with personalized diet guidance can play an auxiliary role in controlling blood sugar, effectively reduce complications of pregnant women and perinatal infants, and improve pregnancy outcomes, which is worth promoting.

关 键 词：营养分析 妊娠期糖尿病 个性化饮食指导 血糖 孕妇并发症 围产儿并发症 

分 类 号：R58[医药卫生—内分泌]