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低血糖指数膳食对妊娠期糖尿病营养治疗的干预效果分析

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目的 分析低血糖指数膳食对妊娠期糖尿病营养治疗的干预效果.方法 选取2021年11月—2022年11月甘肃省张掖市山丹县妇幼保健院妇产科收治的86例妊娠期糖尿病患者为研究对象,并按照随机分组法分为观察组(43例,低血糖指数膳食营养治疗)和对照组(43例,常规营养治疗),比较两组血糖(FPG、2hPBG、HbAlc)控制情况、胰岛素抵抗指数、能量摄入情况、不良事件发生率、满意度.结果 干预后,观察组FPG、2h PBG、HbAlc、胰岛素抵抗指数均低于对照组,组间差异有统计学意义(P<0.05).观察组脂肪摄入量高于对照组,组间差异有统计学意义(P<0.05);观察组碳水化合摄入量少于对照组,组间差异有统计学意义(P<0.05);两组蛋白质、摄入总能量比较无差异(P>0.05).观察组不良事件(胎儿宫内窘迫、巨大儿、产后出血、低血糖、妊高征)发生率低于对照组,组间差异有统计学意义(P<0.05).观察组满意度高于对照组,组间差异有统计学意义(P<0.05).结论 低血糖指数膳食可控制妊娠期糖尿病患者血糖水平,降低胰岛素抵抗指数、碳水化合物摄入量,增加脂肪摄入量,降低不良事件发生率,提升患者满意度,可应用.
Intervention Effect Analysis of Low Glycemic Index Diet on Nutritional Treatment of Pregnancy Diabetes
Objective To analyze intervention effect of low glycemic index diet on nutritional treatment of diabetes pregnancy.Methods A total of 86 patients with gestational diabetes mellitus in the obstetrics and Gynecology Department of Shandan County Maternal and Child Health Hospital,Zhangye City,Gansu Province from November 2021 to November 2022 were randomly selected and divided into two groups:observation group(43 cases,low glycemic index dietary nutrition treatment)and control group(43 cases,conventional nutrition treatment).Blood glucose(FPG,2h PBG,HbAlc)control,insulin resistance index,energy intake,incidence of adverse events and satisfaction were compared between the two groups.Results:After intervention,FPG,2h PBG,HbAlc and insulin resistance index in observation group were lower than those in control group(P<0.05).The fat intake of observation group was higher than that of control group(P<0.05).The carbohydrate intake of observation group was lower than that of control group(P<0.05).There were no differences in protein and total energy intake between the two groups(P>0.05).The incidence of adverse events(intrauterine distress,macronesia,postpartum hemorrhage,hypoglycemia and pregnancy-induced hypertension)in observation group was 4.66%lower than that in control group 23.26%(P<0.05.The satisfaction of observation group was 97.67%higher than that of control group 83.72%(P<0.05).Conclusion:Low glycemic index diet can control the blood glucose level of gestational diabetes mellitus patients,reduce insulin resistance index,carbohydrate intake,increase fat intake,reduce the incidence of adverse events,improve patient satisfaction,and can be applied.

gestational diabetes mellitusNutritional therapyLow glycemic index dietFasting blood glucoseInsulin resistance index

黄竹青

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甘肃省张掖市山丹县妇幼保健院 妇产科,甘肃 张掖 734100

妊娠期糖尿病 营养治疗 低血糖指数膳食 空腹血糖 胰岛素抵抗指数

2024

智慧健康

智慧健康

ISSN:
年,卷(期):2024.10(8)
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