摘要
目的观察基于血糖监测对妊娠期糖尿病患者进行个体化医学营养配合运动指导的临床效果.方法选取2020年7月—2021年4月于我院营养门诊就诊的妊娠期糖尿病患者80例,按照随机分组的原则,将其分为对照组、研究组.对照组接受常规饮食联合运动指导,研究组在血糖监测下接受个体化医学营养联合运动指导,两组均干预2个月.比较两组患者的不良妊娠结局发生率、血糖水平及体质量状况等.结果干预后,研究组的空腹血糖、餐后2h血糖及糖化血红蛋白水平均低于对照组,组间差异有统计学意义(P<0.05).研究组的产后出血、早产及巨大儿等不良妊娠结局发生率均低于对照组,组间差异有统计学意义(P<0.05).研究组的孕期体质量指数增加、每周增重及孕期总增重均低于对照组,组间差异有统计学意义(P<0.05).结论妊娠期糖尿病患者采用基于血糖监测的个体化医学营养配合运动指导,可提高血糖控制效果,降低产后出血风险,优化妊娠结局.
Objective To observe the clinical effect of individualized medical nutrition and exercise guidance for patients with gestational diabetes mellitus based on blood glucose monitoring.Methods A total of 80 patients with gestational diabetes who visited the nutrition clinic of our hospital from July 2020 to April 2021 were selected and divided into a control group and a study group according to the principle of random grouping.The control group received routine diet combined with exercise guidance,and the research group received individualized medical nutrition combined with exercise guidance under blood glucose monitoring.The intervention lasted for 2 months in both groups.The incidenu of adverse pregnany outcomes,blood glucose level and body weight were compared between the two groups.Results After intervention,the levels of fasting blood glucose,2 h postprandial blood glucose and glycated hemoglobin lglycosylateo hemoglobin in the study group were lower than those in the control group,the differences between the groups were statistically significant(P<0.05).The incidence of adverse pregnancy outcomes such as postpartum hemorrhage,premature delivery and macrosomia in the study group was lower than that in the control group,and the difference was statistically significant(P<0.05).The increase of pregnancy body mass index,weight gain per week and total weight gain during pregnancy in the study group were lower than those in the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion Individualized medical nutrition combined with exercise training based on blood glucose monitoring can improve the effect of blood glucose control,reduce the risk of postpartum hemorrhage and optimize pregnancy outcome in patients with gestational diabetes.
作者
李韵
戴炜
关阳
李惠子
LI Yun;DAI Wei;GUAN Yang;LI Huizi(Department of Nutrition,Outpatient Department of Rocket Force Special Medical Center,Beijing,100088,China)
出处
《反射疗法与康复医学》
2021年第24期131-133,共3页
Reflexology And Rehabilitation Medicine
关键词
妊娠期糖尿病
血糖监测
个体化医学营养
运动训练
Gestational diabetes mellitus
Blood glucose monitoring
Personalized medical nutrition
Exercise training
