围产保健门诊个体化营养指导在妊娠糖尿病孕妇中的应用价值  

Application Value of Individualized Nutrition Guidance in Perinatal Health Care Clinic in Pregnant Women with Gestational Diabetes Mellitus

作　　者：张太凤 Zhang Taifeng(Tongren Dejiang County Maternal and Child Health Hospital,Dejiang 565200,Guizhou Province,China)

机构地区：[1]铜仁市德江县妇幼保健院,贵州铜仁565200

出　　处：《中外医药研究》2024年第29期141-143,共3页JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH

摘　　要：目的:分析围产保健门诊个体化营养指导在妊娠糖尿病(GDM)孕妇中的应用价值。方法:以2021年1月—2023年6月德江县妇幼保健院收治的220例GDM孕妇为研究对象,随机均分为对照组(常规营养指导)和研究组(围产保健门诊个体化营养指导),各110例。对两组孕妇干预效果进行比较。结果:干预后,两组空腹血糖、餐后2 h血糖及糖化血红蛋白水平均下降,研究组低于对照组(P<0.05)。干预后,两组甘油三酯、总胆固醇、低密度脂蛋白胆固醇水平均下降,研究组低于对照组(P<0.05);两组高密度脂蛋白胆固醇水平对比,差异无统计学意义(P>0.05)。孕中期、孕晚期及全孕期,研究组体质量增长均少于对照组(P<0.001);研究组孕期体质量增长过多占比低于对照组(P=0.016)。研究组不良母婴结局发生率低于对照组(P=0.002)。结论:应用围产保健门诊个体化营养指导可有效改善GDM孕妇血糖、血脂水平,控制孕期体质量增长,降低不良母婴结局发生率。Objective:To analyze the application value of individualized nutrition guidance in perinatal health care clinic in pregnant women with gestational diabetes mellitus(GDM).Methods:A total of two hundred and twenty pregnant women with GDM admitted to Tongren Dejiang County Maternal and Child Health Hospital from January 2021 to June 2023 were randomly divided into control group(routine nutrition guidance)and study group(individualized nutrition guidance in perinatal health care clinic),with one hundred and ten cases each.The effect of intervention was compared between two groups of pregnant women.Results:After the intervention,the levels of fasting blood glucose,2 h postprandial blood glucose and glycosylated hemoglobin in both groups were decreased,and the study group was lower than the control group(P<0.05).After the intervention,the levels of triglyceride,total cholesterol and low density lipoprotein cholesterol in two groups were decreased,and the study group was lower than the control group(P<0.05);there was no significant difference in the level of high density lipoprotein cholesterol between the two groups(P>0.05).The body mass of the study group increased less than that of the control group in the second,third and whole pregnancy(P<0.001);the proportion of excess body mass increase in the study group was lower than that in the control group(P=0.016).The incidence of adverse outcomes in the study group was lower than that in the control group(P=0.002).Conclusion:The application of individualized nutrition guidance in perinatal health care clinics can effectively improve blood glucose and lipid levels in pregnant women with GDM,control the growth of body mass during pregnancy,and reduce the incidence of adverse maternal and infant outcomes.

关 键 词：围产保健门诊 个体化营养指导 妊娠糖尿病 

分 类 号：R714.256[医药卫生—妇产科学]