基于模糊层次分析法的妊娠期糖尿病个性化营养管理方案构建  

Construction of a personalized nutrition management plan for gestational diabetes based on the fuzzy analytic hierarchy process

作　　者：张嘉文 陈诗琪 周天津 张琚 ZHANG Jiawen;CHEN Shiqi;ZHOU Tianjin;ZHANG Ju(Sichuan Provincial Women’s and Children’s Hospital/the Affiliated Women’s and Children’s Hospital of Chengdu Medical College,Chengdu 610000,China)

机构地区：[1]四川省妇女儿童医院/成都医学院附属妇女儿童医院,四川成都610000

出　　处：《现代医院》2025年第4期621-626,共6页Modern Hospitals

基　　金：四川省妇幼保健院科技创新基金(CXPJ2022-02);四川省卫生信息学会科研课题(2024010)。

摘　　要：目的本研究旨在运用主、客观评价指标,精确计算影响妊娠期糖尿病血糖控制的多种因素的相对权重,从而为临床营养干预方案的制定提供科学依据,为妊娠后期血糖干预效果评估提供支持。方法采用模糊层次分析法(FAHP)构建妊娠期糖尿病患者营养管理方案分层模型,详细计算各准则层权重,结合评分专家权重调整系数,整合形成妊娠期糖尿病营养管理方案数学模型。结果基于14份有效专家反馈问卷,计算得出一级、二级与29个终末指标的相对权重。一级指标权重分别为GDM营养评价指标(0.34142105)、GDM营养管理方案制定(0.331055183)、营养管理方案实施(0.327923333),二级指标中权重最大的分别是实验室指标(0.110385024)与膳食计划(0.117342182)。结论模糊层次分析法可较为精准测算妊娠期糖尿病营养个性化管理影响因素的相对权重,为妊娠全周期血糖管理提供理论依据。Objective This study aims to use subjective and objective evaluation indicators to accurately calculate the relative weights of various factors that affect blood glucose control in gestational diabetes and provide scientific basis for the formulation of clinical nutrition intervention plans and support for the evaluation of blood sugar intervention effects in the late stage of pregnancy.Methods The fuzzy analytic hierarchy process(FAHP)was used to construct a hierarchical model of nutrition management for patients with gestational diabetes,calculate the weights of each criterion layer in detail,and integrate them with the weight adjustment coefficients of scoring experts to form a mathematical model for nutrition management of gestational diabetes.Results Based on 14 valid expert feedback questionnaires,the relative weights of the first,second,and 29 end indicators were calculated.The weights of the first indicators were nutrition assessment indicators for gestational diabetes(0.34142105),formulation of nutrition management plans for gestational diabetes(0.331055183),and implementation of nutrition management plans(0.327923333).The largest weights in the second indicators were laboratory indicators(0.110385024)and meal plans(0.117342182).Conclusion The fuzzy analytic hierarchy process can accurately estimate the relative weights of factors affecting personalized nutrition management in gestational diabetes,providing a theoretical basis for blood sugar management during the entire pregnancy.

关 键 词：妊娠期糖尿病 营养管理 模糊层次分析法 

分 类 号：R197[医药卫生—卫生事业管理]