首页|医学营养治疗在妊娠期糖尿病患者中的运用价值评估分析

医学营养治疗在妊娠期糖尿病患者中的运用价值评估分析

Evaluation and Analysis of the Application Value of Medical Nutrition Therapy in Patients with Gestational Diabetes

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目的 回顾性分析在妊娠期糖尿病患者中采取医学营养治疗的效果.方法 回顾性分析2021年10月—2023年9月上海交通大学医学院苏州九龙医院诊治90例妊娠期糖尿病患者的临床资料,根据不同治疗方法,将其分成研究组(常规治疗+医学营养治疗)和参比组(常规治疗),各45例,比较两组血糖水平、胰岛功能、血脂指标、妊娠结局.结果 治疗后,研究组血糖水平低于参比组,差异有统计学意义(P<0.05);治疗后,研究组胰岛功能强于参比组,差异有统计学意义(P<0.05);研究组血脂指标优于参比组,差异有统计学意义(P<0.05);研究组不良妊娠结局发生率低于参比组,差异有统计学意义(P<0.05).结论 在妊娠期糖尿病患者中采取医学营养治疗,可以改善血糖和血脂水平,促进胰岛功能恢复,优化妊娠结局.
Objective To retrospectively analyze the effect of medical nutrition therapy in patients with gestational dia-betes.Methods The clinical data of 90 cases of gestational diabetes patients diagnosed and treated at Suzhou Jiulong Hospital of Shanghai Jiao Tong University School of Medicine from October 2021 to September 2023 were stud retro-spectively analyzed.According to the differences in treatment methods,they were divided into a study group(conven-tional treatment + medical nutrition therapy)and a reference group(conventional treatment),with 45 cases in each.The blood glucose levels,islet function,blood lipid indicators,and pregnancy outcomes were compared between the two groups.Results After treatment,the blood glucose level of the study group was lower than that of the reference group,and the difference was statistically significant(P<0.05);after treatment,the pancreatic islet function of the study group was stronger than that of the reference group,and the difference was statistically significant(P<0.05);the lipid indexes of the study group were better than those of the reference group,and the difference was statistically sig-nificant(P<0.05);and the incidence of adverse pregnancy outcomes of the study group was lower than that of the refer-ence group,and the difference was statistically significant(P<0.05).Conclusion Medical nutrition therapy in patients with gestational diabetes can improve blood glucose and blood lipid levels,promote the recovery of pancreatic islet function,and optimize pregnancy outcomes.

Gestational diabetesMedical nutrition therapyInsulin detemir

范群斌、韩璐、李文亚

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上海交通大学医学院苏州九龙医院营养科,江苏苏州 215000

上海交通大学医学院苏州九龙医院妇产科,江苏苏州 215000

上海交通大学医学院苏州九龙医院内分泌科,江苏苏州 215000

妊娠期糖尿病 医学营养治疗 地特胰岛素

2024

糖尿病新世界
中国病理生理学会

糖尿病新世界

影响因子:0.461
ISSN:1672-4062
年,卷(期):2024.27(2)
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