摘要
目的探究在妊娠期糖尿病防治中应用饮食控制与糖尿病筛查的效果。方法随机抽取2017年6月—2019年2月该院行糖尿病筛查的172名孕妇为观察对象,筛查显示50例为葡萄糖阳性,经确诊为妊娠期糖尿病,将其作为实验组,其他孕妇作为对照组。并对实验组25例患者实施胰岛素治疗,实验组其他25例患者实施饮食控制+胰岛素治疗。对比两组患者血糖水平、分娩结局及新生儿情况。结果实验组妊娠28周空腹血糖水平及餐后2 h血糖水平和对照组相比差异无统计学意义(P>0.05);实验组剖宫产率、早产儿发生率、巨大儿发生率及新生儿窒息率高于对照组,差异有统计学意义(P<0.05);实验组中,饮食控制患者剖宫产率、早产儿发生率、巨大儿发生率及新生儿窒息率均显著低于饮食未控制患者,差异有统计学意义(P<0.05)。结论在妊娠期糖尿病防治中应用糖尿病筛查有助于尽早发现妊娠期糖尿病,且及时采取饮食控制措施有助于改善母婴结局。
Objective To explore the effects of diet control and diabetes screening in the prevention and treatment of gestational diabetes.Methods A random sample of 172 pregnant women who underwent diabetes screening in our hospital from June 2017 to February 2019 were the observation objects.The screening showed that 50 cases were glucose-positive and were diagnosed with gestational diabetes.They were taken as the experimental group,and the remaining pregnant woman were taken as the control group.25 patients in the experimental group were given insulin therapy,and the other 25 patients in the experimental group were given diet control+insulin therapy.The blood glucose levels,delivery outcomes and newborn conditions of the two groups were compared.Results The fasting blood glucose level at 28 weeks of pregnancy and the blood glucose level at 2 hours postprandial in the experimental group were not statistically significant different from those in the control group(P>0.05);the experimental group had higher rates of cesarean section,premature infants,macrosomia and neonatal asphyxia In the control group,the difference was statistically significant(P<0.05);in the experimental group,the cesarean section rate,premature infant rate,macrosomia rate,and neonatal asphyxia rate of diet-controlled patients were significantly lower than those of diet-uncontrolled patients.The difference was statistically significant(P<0.05).Conclusion The application of diabetes screening in the prevention and treatment of gestational diabetes can help to detect gestational diabetes as soon as possible,and timely diet control measures can help improve the outcome of mother and infant.
作者
毛桂琴
MAO Gui-qin(Department of Obstetrics and Gynecology,Shibei Central Hospital,Pucheng County,Nanping,Fujian Province,353402 China)
出处
《糖尿病新世界》
2021年第1期34-35,38,共3页
Diabetes New World Magazine
