摘要
[目的]探讨分阶段控制妊娠糖尿病病人体重对血糖达标的影响。[方法]筛选2011年1月—2013年12月出院的妊娠糖尿病病人45例为对照组,2014年1月—2014年12月出院糖尿病病人62例为观察组,两组进行常规的糖尿病饮食运动教育,均采用多点注射胰岛素控制血糖,并进行每天4次血糖监测,观察组在此基础上进行分阶段体重的控制,比较两组出院后第1个月末(最后1d)、第2个月末、第3个月末的空腹血糖、早餐后2h血糖、晚餐前血糖、睡前血糖、体重增加量;统计两组病人额外加餐(不包括发生低血糖时加餐)的每月总次数;3个月后的糖化血红蛋白、体重指数和3个月内的低血糖发生次数,观察各组的血糖波动情况。[结果]观察组第1个月末和第2个月末空腹血糖、早餐后血糖、晚餐前血糖、睡前血糖值、第1个月末体重增加量与对照组差异无统计学意义(P>0.05),但第3个月末空腹血糖、早餐后血糖、晚餐前血糖、睡前血糖值均明显低于对照组,第2个月末、第3个月末体重增加量均低于对照组(P<0.05),3个月后的体重指数、每月额外加餐次数、糖化血红蛋白、低血糖发生总次数观察组低于对照组(P<0.05)。[结论]妊娠糖尿病病人体重增加对血糖波动有影响,分阶段控制体重可以促进病人血糖达标。
Objective：To probe into the influence of phased weight control in patients with gestational diabetes on blood sugar standard.Methods：A total of 45 patients with gestational diabetes who were discharged from January 2011 to December 2013 were selected as control group,and 62 patients with gestational diabetes who were discharged from January2014 to December 2014 were selected as observation group.In addition to the regular diabetes dietary and exercise therapies,both groups of patients were treated with multiple daily insulin injection to keep glucose good control,and four times of blood sugar monitoring.The patients in observation group underwent phased weight control.The fasting glucose level,2hpostprandial glucose level,the glucose level before dinner,the glucose level before sleeping,and weight gain were compared on the last day of the first,second,and third month since discharging between both groups.The frequency of extra food intake,HbA1 c levels,body mass index,and the frequency of hypoglycemia were compared in three months since discharging between both groups.Results：There was no statistically significant difference in fasting glucose level,2h postprandial glucose level,the glucose level before dinner,bedtime blood glucose at the end of first month and the second month since discharging（P0.05）.The two groups also had similar weight gain at the end of the first month since discharging（P0.05）.However,compared with the control group,the patients in observation group had significantly lower fasting glucose level,2hpostprandial glucose level,the glucose level before dinner and bedtime blood glucose at the end of the third month since discharging（P0.05）.The patients in observation group also had significantly lower weight gain at the end of the second,and the third month since discharging（P0.05）.The patients in observation group had significantly lower frequency of extra food intake,HbA1 c levels,body mass index,and the frequency of hypoglycemia compared with that in control group.Conclusion：Weight gain affected the glucose control in patients with gestational diabetes.Phased controlling weight could promote glucose control standard in patients with gestational diabetes.
出处
《护理研究（上旬版）》
2016年第4期1198-1200,1207,共4页
Chinese Nursing Researsh
基金
2013年湖北省自然科学基金项目
编号:2013CKB025
关键词
糖尿病
妊娠
体重指数
血糖
diabetes
pregnancy
body mass index
glucose
