营养饮食疗法对妊娠期糖尿病的临床疗效
Clinical efficacy of nutritional diet therapy on gestational diabetes mellitus.
作者信息
Xu Shan, Yu Qin, Mi Jiayi, Li Hua
机构信息
Department of Obstetrics, Ji'nan Central Hospital Ji'nan, Shandong, China.
出版信息
Am J Transl Res. 2022 May 15;14(5):3488-3493. eCollection 2022.
OBJECTIVE
To analyze the clinical effect of nutritional diet therapy on gestational diabetes mellitus (GDM).
METHODS
One hundred pregnant women with GDM who were admitted to Ji'nan Central Hospital were enrolled in this study. The patients were divided into an observation group (received individualized nutrition nursing, n=50) and a control group (received routine nursing, n=50).
RESULTS
The total incidence of postpartum complications in the control group was 28.00%, which was significantly higher than 8.00% in the observation group (χ=4.500, P=0.034). After nursing, the amniotic fluid index in the observation group increased significantly as compared with the control group (P<0.001). The nursing satisfaction rate of the observation group was higher than that of the control group. The difference was statistically significant (t=14.324, P<0.001). The health condition of newborns in the observation group was better than that in the control group (χ=4.762, P=0.029). After intervention, the level of blood glucose of women in the observation group was better than that of the control group (P<0.05).
CONCLUSION
Nutritional diet therapy for pregnant women with GDM can help to reduce complications, control blood sugar, and improve the neonatal outcome. It is also conducive to the postpartum rehabilitation of pregnant women. It is worthy of clinical application and promotion.
目的
分析营养饮食疗法对妊娠期糖尿病（GDM）的临床疗效。
方法
选取济南市中心医院收治的100例GDM孕妇作为研究对象。将患者分为观察组（接受个体化营养护理，n = 50）和对照组（接受常规护理，n = 50）。
结果
对照组产后并发症总发生率为28.00%，显著高于观察组的8.00%（χ=4.500，P = 0.034）。护理后，观察组羊水指数较对照组显著增加（P<0.001）。观察组护理满意度高于对照组，差异有统计学意义（t = 14.324，P<0.001）。观察组新生儿健康状况优于对照组（χ=4.762，P = 0.029）。干预后，观察组女性血糖水平优于对照组（P<0.05）。
结论
GDM孕妇营养饮食疗法有助于减少并发症、控制血糖、改善新生儿结局，也有利于孕妇产后康复，值得临床应用与推广。
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