妊娠期糖尿病饮食治疗的临床效果分析 |
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引用本文: | 马慧冰. 妊娠期糖尿病饮食治疗的临床效果分析[J]. 中外医疗, 2016, 0(24): 14-16. DOI: 10.16662/j.cnki.1674-0742.2016.24.014 |
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作者姓名: | 马慧冰 |
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作者单位: | 福建省南平市妇幼保健院妇产科,福建南平,353000 |
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摘 要: | 目的:探讨妊娠期糖尿病的饮食治疗。方法方便选择该院2015年1—12月间收治的40例妊娠期糖尿病患者为观察组,同时选择正常产妇40名为对照组,对照组患者未进行饮食方案治疗,由医护人员对患者进行口头指导。观察组患者先由营养师对其营养进行评价,并对患者的身高和体重数据,采取合适的饮食治疗方案,观察两组患者的血糖及分娩方式和并发症。结果与治疗前相比,空腹血糖、餐后2 h血糖治疗后分别为(4.89±2.32)、(5.17±2.67)mmol/L,对比分析后,差异有统计学意义(t=9.293、8.068,P<0.05)。与对照组患者相比,观察组剖宫产、阴道分娩、妊娠期高血压、巨大儿和羊水过多分别为10例、30例、6例、1例和0例,对比分析后,差异有统计学意义(χ2=7.945、8.348、4.029、7.234、5.023,P<0.05)。结论对于妊娠期糖尿病患者,合理的饮食治疗方案可有效控制血糖水平,保证孕妇及产儿的健康。
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关 键 词: | 妊娠期糖尿病 饮食治疗 血糖 |
Study on Diet Therapy for Patients with Gestational Diabetes |
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Abstract: | Objective To study diet therapy for patients with gestational diabetes. Methods Convenient selection 40 cases of patients with gestational diabetes were selected from January 2015 to December 2015 in our hospital treated as observa-tion group with normal maternal 40 cases observed in patients as control group. Patients in control group were treated with-out dietary regimen.They were treated with health care professionals oral guidance. Patients in observation group were evalu-ated first by nutritionists, and the patient's height and weight data, take appropriate dietary regimen. Blood glucose and de-livery methods and complications of the two groups were observed. Results Compared with the previous treatment, fasting glucose, respectively (4.89 ± 2.32) mmol/L after 2 h postprandial blood glucose after treatment (5.17 ± 2.67) mmol/L, com-parative analysis, the difference was statistically significant (t= 9.293,8.068,P<0.05). Compared with control group, observa-tion group of cesarean section and vaginal delivery, gestational period hypertension, macrosomia and amniotic fluid too much respectively for 10, 30 cases, 6 cases, 1 and 0, after analysis and comparison, the difference is statistically significant (χ2=7.945、8.348、4.029、7.234、5.023,P < 0.05). Conclusion For gestational diabetes, the need for strict control of blood glucose levels, the timing of delivery should choose 37 to 40 weeks pregnant, promote fetal lung maturity to good effect, but it is difficult to evaluate lung maturity, it can be carried out prior to the termination of pregnancy amniotic fluid foam test. |
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Keywords: | Gestational diabetes Diet therapy Blood sugar |
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