个体化医学营养疗法配合门冬胰岛素治疗对妊娠期糖尿病患者糖脂代谢指标及母婴结局的影响  

Impact of Individualized Medical Nutrition Therapy Combined with Aspart Insulin Treatment on Glucose-Lipid Metabolism Indicators and Maternal-Infant Outcomes of Patients with Gestational Diabetes Mellitus

作　　者：陈小欢 章凡 刘艳华 CHEN Xiaohuan;ZHANG Fan;LIU Yanhua(Department of Obstetrics and Gynecology,Xihu District Maternal and Child Health Hospital,Nanchang 330003,China)

机构地区：[1]南昌市西湖区妇幼保健院妇产科,江西南昌330003

出　　处：《临床医学工程》2024年第12期1485-1486,共2页Clinical Medicine & Engineering

摘　　要：目的探讨个体化医学营养疗法配合门冬胰岛素治疗妊娠期糖尿病(GDM)的临床效果。方法80例GDM患者随机分为两组。参照组接受门冬胰岛素治疗,研究组在参照组基础上接受个体化医学营养疗法。比较两组的血糖、血脂和母婴结局。结果治疗后,研究组的FPG、2hPG、HbA1c、TC、TG、LDL水平,以及不良母婴结局总发生率均低于参照组(P<0.05)。结论个体化医学营养疗法配合门冬胰岛素治疗GDM可有效降低患者的糖脂代谢水平,改善母婴结局。Objective To explore the clinical effect of individualized medical nutrition therapy combined with aspart insulin in the treatment of gestational diabetes mellitus(GDM).Methods 80 patients with GDM were randomly divided into two groups.The reference group was treated with aspart insulin,while the study group received individualized medical nutrition therapy on the basis of the reference group.The blood glucose,blood lipid,and maternal-infant outcomes were compared between two groups.Results After treatment,the levels of FPG,2hPG,HbA1c,TC,TG and LDL,and the total incidence of adverse maternal and infant outcomes in the study group were lower than those in the reference group(P<0.05).Conclusions Individualized medical nutrition therapy combined with aspart insulin in the treatment of GDM can effectively reduce patients'glucose and lipid metabolism levels and improve maternal and infant outcomes.

关 键 词：妊娠期糖尿病 个体化医学营养疗法 门冬胰岛素 血糖 血脂 

分 类 号：R714.256[医药卫生—妇产科学]