个性化营养指导在妊娠糖尿病患者产前护理中的效果研究.pdfVIP

埠医1%灌 2014 年12 月第21 卷第 12 期 ·论著· (护理不;性化营养指导在姬振糖尿病患者产前护理中的效姗究 陈兰芳 (广东省佛山市三水区妇幼保健院，广东佛山 5281∞) [摘要] 目的探讨个性化营养指导在任娘糖尿病患者产前护理中的效采。方法将 104 例娃娘糖尿病患者分为观察组与对 照纽各52 例，对照纽患者给予任娘糖尿病的常规治疗，观察纽在对照组基础上施行个性化营养指导，对比分析两纽患者的血糖 控制情况与任娘结局。结果个性化营养指导后观察组对GLU 与 2hPBG 的控制水平显著优于对照纽 (P0.05) ; 观察组早产率与 对照纽比较无统计学意义 (PO.O日，但巨大儿发生率以及剖宫产率均显著低于对照纽 (P 0.05) 。结论个性化营养指导对改善 GDM 的血糖水平与娃妹结局有益，值得临床借鉴与推广。 [关键词] 任娘糖尿病;营养指导;血糖控制;任娘结局 中图分类号: R473.71 文献标识码: A doi: 1O.3969/j .issn. 1674-4659.2014. 12.1642 EtTect Analysis of Ind.ividualized Nutritional Guidance in Prenatal Care of Patients with Gestational Diabetes Mellitus CHENL呵。ng (Ma1emal aml Child He a1th Hospita1 of Sanshui Di.s trict, Foshan 528100, China) [Abstract] Objective To evaluate the effect of individualized nu回tional gui也nce in prenatal c缸e of patients with gestational diabetes mellitus. Methods 104 cases of patients with gestational diabetes mellitus were selected and randomly divided into observation group and the control group, 52 cases per group. The cOß仕01 group was given routine treatrnent, the observation group was given individualized nutritional guidance on 出e basis of the con钉01 group. The conditions of glycemic control and pregnancy outcomes of two groups were compared and analyzed. Results After the individualized nutritional guidance，由e con位。1 level of GLU and 2hPBG of the observation group were significantly better than that of the control group (P 0.05); the preterm birth rate of two groups had no statistical significant difference (P O.05), but the incidence ofmacrosomia and cesarean section rates ofthe observation group were significantly lower than those of the control group (P 0.05). Conclusions The individualized nutritional guidance is beneficia