个体化营养干预对妊娠期糖尿病患者血糖及胎儿血流的影响研究  

Study on the Influence of Individualized Nutrition Intervention for Blood Glucose and Fetal Blood Flow of Patients with Gestational Diabetes Mellitus

作　　者：徐莎莎 XU Shasha(Obstetrical Department,Jingmen Traditional Chinese Medicine Hospital,Jingmen 448000,China)

机构地区：[1]荆门市中医医院产科,湖北荆门448000

出　　处：《中国医学创新》2024年第19期72-76,共5页Medical Innovation of China

摘　　要：目的:探究个体化营养干预对妊娠期糖尿病患者血糖及胎儿血流的影响。方法:将2020年1月—2023年10月荆门市中医医院的120例妊娠期糖尿病患者根据随机数表字法分为对照组60例和观察组60例。对照组进行常规妊娠期糖尿病干预,观察组则进行个体化营养干预。比较两组的血糖控制效果,干预前、干预1个月后的血糖指标(空腹血糖、餐后2 h血糖及糖化血红蛋白)、胰岛功能指标(空腹胰岛素及胰岛素抵抗指数)及胎儿血流指标(脐动脉及肾动脉血流指标)。结果:观察组的血糖控制总有效率显著高于对照组,差异有统计学意义(P<0.05)。干预前,两组的血糖指标、胰岛功能指标及胎儿血流指标比较,差异均无统计学意义(P>0.05);干预1个月后,两组的血糖指标、胰岛功能指标及胎儿血流指标均显著低于治疗前,且观察组的血糖指标、胰岛功能指标及胎儿血流指标均显著低于对照组,差异均有统计学意义(P<0.05)。结论:个体化营养干预在妊娠期糖尿病患者中的血糖控制效果较好,且可显著改善胎儿的血流状态。Objective:To investigate the influence of individualized nutrition intervention for blood glucose and fetal blood flow of patients with gestational diabetes mellitus.Method:A total of 120 patients with gestational diabetes mellitus in Jingmen Traditional Chinese Medicine Hospital from January 2020 to October 2023 were divided into control group 60 cases and observation group 60 cases by the random number table method.The control group was treated with routine intervention for gestational diabetes mellitus,the observation group was treated with individualized nutrition intervention.Then the blood glucose control effect,blood glucose indexes fasting blood glucose,2-hour postprandial blood glucose and glycosylated hemoglobin),islet function indexes(fasting insulin and insulin resistance index)and fetal blood flow indexes(umbilical and renal artery blood flow indexes)before intervention and after 1 month of the intervention in two groups were compared.Result:The total effective rates of blood glucose control of observation group was significantly higher than that of control group,the difference was statistically significant(P<0.05).Before intervention,the blood glucose indexes,islet function indexes and fetal blood flow indexes of two groups were compared,the differences were not statistically significant(P>0.05);after 1 month of intervention,the blood glucose indexes,islet function indexes and fetal blood flow indexes of two groups were significantly lower than those before the intervention,and the blood glucose indexes,islet function indexes and fetal blood flow indexes of observation group were significantly lower than those of control group,the differences were statistically significant(P<0.05).Conclusion:The blood glucose control effect of individualized nutrition intervention in patients with gestational diabetes mellitus is better,and it can significantly improve the fetal blood flow state of patients.

关 键 词：个体化营养干预 妊娠期糖尿病 血糖 胎儿血流 

分 类 号：R714.256[医药卫生—妇产科学]