摘要
目的分析基于血糖负荷的食物交换份法在妊娠期糖尿病(gestational diabetes mellitus,GDM)患者中的应用效果。方法选取2021年7月—2022年6月期间接受菏泽医学专科学校健康宣教的GDM患者98例,使用随机数表法分为研究组(49例)与对照组(49例)。对照组采取常规饮食指导,研究组采取基于血糖负荷的食物交换份法进行饮食指导。针对两组血糖值、妊娠并发症与不良妊娠结局进行观察与比较。结果干预后,研究组餐后2 h血糖、空腹血糖、糖化血红蛋白值较对照组低,差异有统计学意义(P<0.05)。研究组妊娠并发症发生率较对照组低,差异有统计学意义(P<0.05)。研究组不良妊娠结局发生率较对照组低,差异有统计学意义(P<0.05)。结论基于血糖负荷的食物交换份法在GDM患者中具有较为理想的应用效果,可以有效控制患者的血糖水平,降低妊娠并发症概率,保障妊娠结局。
Objective To analyze the effectiveness of the glycemic load-based food exchange portion method in pa⁃tients with gestational diabetes mellitus(GDM).Methods 98 cases of GDM patients who received health education from Heze Medical College during the period of July 2021 to June 2022 were selected and divided into the study group(49 cases)and the control group(49 cases)using a random number table method.The control group adopted conventional dietary guidance,and the study group adopted the food exchange portion method based on glycemic load for dietary guidance.Glycemic values,pregnancy complications and adverse pregnancy outcomes were observed and compared between the two groups.Results After the intervention,2-hour postprandial blood glucose,fasting plasma glucose,and glycosylated hemoglobin values in the study group were lower compared to the control group,and the dif⁃ference was statistically significant(P<0.05).The incidence of pregnancy complications in the study group was lower than that in the control group,and the difference was statistically significant(P<0.05).The incidence of adverse preg⁃nancy outcomes in the study group was lower than that in the control group,and the difference was statistically signifi⁃cant(P<0.05).Conclusion The food exchange portion method based on glycemic load has a more ideal application ef⁃fect in patients with GDM,which can effectively control the patient's blood glucose level,reduce the probability of pregnancy complications,and safeguard the pregnancy outcome.
作者
崔琳林
付丹丹
CUI Linlin;FU Dandan(Medical Nutrition Teaching and Research Department of Heze Medical College,Heze,Shandong Province,274000 China;Heze Medical College Nutrition and Health Management Training Room,Heze,Shandong Province,274000 China)
出处
《糖尿病新世界》
2023年第14期195-198,共4页
Diabetes New World Magazine
关键词
血糖负荷
食物交换份法
妊娠期糖尿病
Glycemic load
Food-exchange portion method
Gestational diabetes mellitus
