摘要
目的探讨个体化饮食干预对妊娠糖尿病（GDM）患者及其新生儿血糖的影响。方法将2000-2006年于我院产科住院的314例妊娠晚期GDM患者随机分为试验组和对照组,试验组实行个体化饮食干预,饮食供给标准根据孕前体重指数（BMI）和孕期增重等情况确定,对照组患者为随意进食组,饮食数量、种类不限制。采用食物登记法收集一周摄入的食物种类和数量。分别测定两组患者治疗前后空腹、早餐后2h、午餐后2h、晚餐后2h、晚10点的血糖值及其新生儿出生后2h、4h、6h的即刻血糖值和出生体重。结果两组患者治疗后的血糖值均较治疗前降低,试验组患者治疗后的血糖值降低较对照组明显（P〈0.05）,其新生儿娩出后4h、6h即刻血糖值高于对照组（P〈0.05）,而2h即刻血糖值和出生体重间差别无显著性意义（P〉0.05）。结论对GDM患者采用个体化饮食干预可显著降低母体血糖水平,有利于新生儿血糖的控制。
Objective To investigate the effect of intervention of individual diet on blood glucose in patients with gestational diabetes mellitus （GDM） and their newborns. Methods 314 patients with GDM, accepted from 2000 to 2006, were randomly divided into two groups, a test group and a control group. The test group were given diet intervention therapy individually, and their diet was made according to pregestional body mass index （BMI） and pregnancy body weight gain. The control group were given diet at random, One - week diet intakes were observed and collected in diet registration method. Before and after diet therapy, blood glucose was measured on an empty stomach in both groups, at the 2nd hour after breakfast, lunch and supper, at 22 o＇clock. Their newborns＇ blood glucose and weight gain were also measured at the 2nd, 4th and 6th hour after born, Results Blood glucose of both groups was lower after therapy than before therapy, There was a significant decrease in blood glucose of the test group when compared with that of the control group （ P 〈 0.05）. Blood glucose of their newborns was higher at the 4th and 6th hour in the test group than in the control group （ P 〈 0.05）, and the test group was not significantly different from the control group in weight gain and glucose, Conclusion After individual diet intervention therapy, blood glucose in patients with GDM decreased. And it＇s a favourable way to control blood glucose in newborns.
出处
《中国全科医学》
CAS
CSCD
2007年第18期1514-1516,共3页
Chinese General Practice
关键词
个体化饮食
妊娠糖尿病
血糖
新生儿
影响
Individual diet therapy
Gestational diabetes mellitus
Serum glucose
Newborns
Effect
