个性化营养支持对妊娠期糖尿病患者血糖和并发症的影响  

Evaluation of the efficacy of individualized nutritional guidance on blood glucose and complications in patients with gestational diabetes mellitus

作　　者：邹素珍 叶琼[1] 吴淋淋[2] 倪娟娟[1] ZOU Suzhen;YE Qiong;WU Linlin;NI Juanjuan(Obstetrics of the Second Affiliated Hospital of Wenzhou Medical University,Wenzhou,Zhejiang 325000,China;不详)

机构地区：[1]温州医科大学附属第二医院产科,浙江温州325000 [2]金华市人民医院妇科,浙江金华321000

出　　处：《中华全科医学》2023年第3期438-441,共4页Chinese Journal of General Practice

基　　金：浙江省医药卫生科技计划项目(2021KY1184)。

摘　　要：目的 探讨个性化营养支持对妊娠期糖尿病患者血糖和并发症的影响,为妊娠期糖尿病患者的管理提供参考依据。方法 选取2019年6月—2021年12月温州医科大学附属第二医院收治的妊娠期糖尿病患者110例作为研究对象,按照随机数字表法分为对照组(55例)和观察组(55例)。对照组采用常规妊娠期糖尿病方案,观察组在对照组的基础上实施个性化营养支持。干预4周后,比较2组患者妊娠期糖尿病知识达标率、护理满意度,检测2组患者的空腹血糖和餐后2 h血糖,并比较妊娠期并发症和新生儿并发症情况。结果 观察组妊娠期糖尿病知识达标率和护理满意度评分明显优于对照组(均P<0.05)。观察组空腹血糖和餐后2 h血糖分别为(5.56±0.26)mmol/L、(6.59±0.54)mmol/L,显著低于对照组(5.73±0.30)mmol/L、(7.28±0.69)mmol/L(均P<0.05)。观察组妊娠期并发症和新生儿并发症发生率分别是14.55%(8/55)、10.91%(6/55),均低于对照组的38.18%(21/55)、34.55%(19/55),均P<0.05。结论 对妊娠期糖尿病患者实施个性化营养支持效果优良,能够有效控制血糖水平、减少并发症。Objective This study aims to explore the evaluation of the efficacy of individualized nutritional guidance on blood glucose and complications in patients with gestational diabetes mellitus,and to provide a reference for the management of patients with gestational diabetes.Methods A total of 110 patients with gestational diabetes admitted to the Second Hospital of Wenzhou Medical University from June 2019 to December 2021 were randomly divided into control group(n=55) and observation group(n=55),according to the random number table method.The control group received routine gestational diabetes regimen,and the observation group received individualized nutritional guidance on the basis of the control group.After 4 weeks of intervention,the compliance rate of gestational diabetes knowledge attainment and nursing satisfaction of the two groups were compared.Fasting blood glucose and 2-hour postprandial blood glucose in the 2 groups were measured,and the pregnancy complications and neonatal complications in the 2 groups were compared.Results The knowledge attainment rate of gestational diabetes and nursing satisfaction score in the observation group were significantly better than those in the control group(both P<0.05).Fasting blood glucose and 2-hour postprandial blood glucose in the observation group were(5.56±0.26) mmol/L,(6.59±0.54) mmol/L,respectively,which were significantly lower than those in the control group(5.73±0.30) mmol/L,(7.28±0.69) mmol/L(both P<0.05).The incidence of pregnancy complications and neonatal complications in the observation group were 14.55%(8/55) and 10.91%(6/55),respectively,which were lower than 38.18%(21/55) and 34.55%(19/55) in the control group(both P<0.05).Conclusion The effect of individualized nutritional support for patients with gestational diabetes mellitus is excellent,which can effectively control the blood glucose level and reduce complications.

关 键 词：个性化营养支持 妊娠期糖尿病 血糖 并发症 

分 类 号：R714.25[医药卫生—妇产科学]