个体化营养指导对妊娠期糖尿病患者血糖及妊娠结局的影响  

Effect of Individualized Nutritional Guidance on Blood Glucose and Pregnancy Outcome in Patients with Gestational Diabetes Mellitus

作　　者：林冬琼 林秋萍[1] 赖景秀 谢秀容 LIN Dongqiong;LIN Qiuping;LAI Jingxiu;XIE Xiurong(Quanzhou First Hospital,Quanzhou 362000,Fujian,China)

机构地区：[1]泉州市第一医院,福建泉州362000

出　　处：《糖尿病新世界》2024年第23期114-117,共4页Diabetes New World

摘　　要：目的 探究个体化营养指导在妊娠期糖尿病患者中的应用价值。方法 选取2022年1月-2023年1月泉州市第一医院收治的98例妊娠期糖尿病患者,按照护理方式的不同分为对照组(n=49,实施常规护理干预),研究组(n=49,在对照组基础上结合个体化营养指导)。比较两组患者血糖水平、血脂水平及不良妊娠结局发生率。结果 干预2个月后,研究组空腹血糖、餐后2 h血糖、总胆固醇、甘油三酯、低密度脂蛋白胆固醇水平均低于对照组,差异均有统计学意义(P均<0.05)。研究组不良妊娠结局发生率低于对照组,差异有统计学意义(P<0.05)。结论 妊娠期糖尿病患者应用个体化营养指导可降低血糖、血脂水平及不良妊娠结局发生风险。Objective To explore the application value of individualized nutritional guidance in patients with gesta-tional diabetes mellitus.Methods A total of 98 patients with gestational diabetes mellitus admitted to Quanzhou First Hospital from January 2022 to January 2023 were selected and divided into control group(n=49,routine nursing inter-vention)and study group(n=49,individualized nutritional guidance on the basis of the control group).The levels of blood glucose,blood lipid and the incidence of adverse pregnancy outcomes were compared between the two groups.Results After 2 months of intervention,the levels of fasting blood glucose,2-hour postprandial blood glucose,total cholesterol,triglyceride,low-density lipoprotein cholesterol in the study group were lower than those in the control group,and the differences were statistically significant(all P<0.05).The incidence of adverse pregnancy outcomes in the study group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion The application of individualized nutrition guidance in patients with gestational diabetes mellitus can re-duce the risk of blood glucose,blood lipid levels and adverse pregnancy outcom.

关 键 词：个体化营养指导 妊娠期糖尿病 血糖 妊娠结局 血脂水平 

分 类 号：R587.1[医药卫生—内分泌]