血糖负荷的改良食物交换份法对妊娠期糖尿病孕产妇血糖水平妊娠结局的影响  

Effect of improved food exchange method of blood glucose load on blood glucose level and pregnancy outcome of pregnant women with diabetes mellitus

作　　者：王芳[1] 郭莹[1] 吴允[1] 翟桂荣[1] Wang Fang;Guo Ying;Wu Yun;Zhai Guirong(Department of Zhengzhou Maternal and Child Health Hospital Department of Obstetrics and Gynecology,Henan,450000China)

机构地区：[1]河南省郑州市妇幼保健院宜居产科,450000

出　　处：《山西医药杂志》2024年第10期746-749,共4页Shanxi Medical Journal

摘　　要：目的观察血糖负荷的改良食物交换份法对妊娠期糖尿病孕产妇血糖水平、妊娠结局的影响。方法我院2021年8月至2023年5月80例妊娠期糖尿病孕产妇为本次研究对象,按照是否实施基于血糖负荷的改良食物交换份法将孕产妇分为2组,对照组采取常规饮食干预,研究组采用基于血糖负荷的改良食物交换份法,比较2组孕产妇干预效果。结果研究组孕产妇干预后血糖指标[空腹血糖(4.58±0.37)mmol/L、餐后2 h血糖(7.25±1.35)mmol/L、糖化血红蛋白(5.44±0.25)%]、血脂指标[总胆固醇(4.42±0.32)mmol/L、甘油三酯(2.12±0.16)mmol/L]较于干预前均改善且改善幅度均大于对照组,差异有统计学意义(P<0.05)。研究组母婴体质量增长[孕期体质量增加量(17.4±2.4)kg、平均每周体质量增加量(656±125)g、新生儿出生体质量(3051±239)g]、孕产妇剖宫产率(5%)、胎儿不良妊娠结局反应发生率(5%)低于对照组,差异具有统计学意义(P<0.05)。结论妊娠期糖尿病孕产妇基于血糖负荷的改良食物交换份法较于常规饮食干预在保证营养物质摄入的同时可有效提升糖脂代谢,减少母婴体重增长,降低剖宫产率以及胎儿不良妊娠结局发生率。Objective To observe the effect of the improved food exchange method of blood glucose load on the blood glucose level and pregnancy outcome of pregnant women with diabetes.Methods A total of 80 pregnant and lying-in women with gestational diabetes from August 2021 to May 2023 in our hospital were the subjects of this study.The pregnant and lying-in women were divided into two groups according to whether the improved food exchange method based on blood glucose load was implemented.The control group took conventional diet intervention.The study group used the improved food exchange method based on blood glucose load to compare the intervention effects of the two groups of pregnant and lying-in women.Results After intervention,the blood glucose indicators[fasting blood glucose(4.58±0.37)mmol/L,2-hour postprandial blood glucose(7.25±1.35)mmol/L,glycated hemoglobin(5.44±0.25)%],blood lipid indicators[total cholesterol(4.42±0.32)mmol/L,triglycerides(2.12±0.16)mmol/L]of the study group improved compared to the control group before intervention,and the improvement amplitude was greater,with significant data differences(P<0.05).The maternal and infant weight gain during pregnancy(17.4±2.4)kg,average weekly weight gain(656±125)g,newborn birth weight(3051±239)g,the rate of cesarean section(5%)and the incidence of maternal adverse fetal pregnancy outcomes(5%)were lower than that of the control group(P<0.05).Conclusion Compared with the conventional diet intervention,the improved food exchange method based on blood glucose load for pregnant women with diabetes during pregnancy can effectively improve the metabolism of glucose and lipids while ensuring the intake of nutrients,reduce the weight growth of mothers and infants,and reduce the cesarean section rate and the incidence of adverse pregnancy outcomes.

关 键 词：血糖负荷 妊娠结局 改良食物交换份法 妊娠期 糖尿病 孕产妇血糖水平 

分 类 号：R714.256[医药卫生—妇产科学]