摘要
目的观察营养治疗对妊娠期糖尿病患者血糖控制及妊娠结局的影响。方法选取2018年1-12月海安市人民医院收治的妊娠期糖尿病患者80例,根据入院单双日分为观察组和对照组各40例,对照组采用常规治疗,观察组在常规治疗基础上联合营养治疗,比较2组临床效果。结果治疗后2组空腹血糖、餐后2 h血糖水平均低于治疗前,且观察组低于对照组,差异均有统计学意义(P<0.05)。观察组难产率低于对照组,差异有统计学意义(χ~2=6.991,P<0.05)。观察组胎膜早破、巨大儿、早产儿、黄疸发生率均低于对照组,差异均有统计学意义(P<0.05)。结论针对妊娠期糖尿病患者在常规治疗的基础上联合营养治疗可控制血糖,改善妊娠结局,值得临床应用与推广。
Objective To observe the effect of nutritional therapy on blood glucose control and pregnancy outcome in patients with gestational diabetes.Methods From January 2018 to December 2018, 80 patients with gestational diabetes mellitus admitted to the Hai′an People′s Hospital were selected, and they were divided into two groups according to one and two days of admission, the control group(40 cases)was treated with routine therapy, and the observation group(40 cases)was treated with combined nutrition on the basis of routine treatment, the clinical effects of the two groups were compared. ResultsAfter treatment, the fasting blood glucose and the 2 h postprandial blood glucose levels were lower than before treatment, and the observation group was lower than that in the control group, the differences were statistically significant(P<0.05). The rate of dystocia in the observation group was lower than that in the control group, and the difference was statistically significant(χ~2=6.991, P<0.05). The incidence of premature rupture of membranes, macrosomia, premature infants and jaundice in the observation group were lower than those in the control group, and the differences were statistically significant(P<0.05). Conclusion Combined nutrition therapy on the basis of routine treatment for gestational diabetes mellitus patients can control blood sugar and improve pregnancy outcome, which is worthy of clinical application and promotion.
作者
胡阳
杨小华
颜永进
HU Yang;YANG Xiaohua;YAN Yongjin(Nutrition Department,Hai'an People's Hospital,Jiangsu Province,Hai'an 226600,China)
出处
《临床合理用药杂志》
2020年第1期29-30,共2页
Chinese Journal of Clinical Rational Drug Use
关键词
营养治疗
妊娠期糖尿病
血糖控制
妊娠结局
影响
Nutrition therapy
Gestational diabetes mellitus
Blood glucose control
Pregnancy outcome
Effect
