妊娠糖尿病患者饮食自我管理与个体化干预研究

发布时间：2018-07-05 06:31

本文选题：糖尿病 + 妊娠　；参考：《重庆医学》2015年03期

【摘要】：目的调查妊娠糖尿病(GDM)患者饮食自我管理和认知情况,探讨个体化饮食干预对妊娠糖尿病患者的影响。方法以明确诊断为GDM的41例孕妇为研究对象,通过调查问卷和Logistic回归分析,综合评价其遵循饮食控制的影响因素,监测实施个体化营养干预后餐后2h血糖(2hPG)、糖化血红蛋白(HbAlc)、三酰甘油(TG)、总胆固醇(TC)的数值变化,并与干预前的指标进行比较。结果 (1)饮食认知上接受过饮食教育者占90.2%,饮食态度上有26.8%的患者认为严格的饮食治疗和运动疗法就能有效控制血糖,食物的描述答题全部正确率为2.4%,遵循饮食控制的患者占85.4%。(2)Logistic回归分析显示,影响GDM患者遵循饮食控制的因素为年龄、BMI、文化程度、接受过饮食教育、定期自我监测血糖、定期到医院复查。(3)41例GDM孕妇经个体化饮食干预,其中38例孕妇治疗后2hPG、HbAlc、TC、TG均较治疗前水平明显下降,差异有统计学意义(P0.01)。结论个体化饮食干预对GDM患者有明显的治疗作用。
[Abstract]:Objective to investigate the dietary self-management and cognition of gestational diabetes mellitus (GDM) and to explore the effect of individual diet intervention on gestational diabetes mellitus. Methods 41 pregnant women who were diagnosed as GDM were investigated by questionnaire and logistic regression analysis to evaluate the influencing factors of their diet control. Two hours postprandial glucose (2hPG), glycosylated hemoglobin (HbAlc), triacylglycerol (TG), total cholesterol (TC) were monitored after individualized nutrition intervention, and compared with those before intervention. Results (1) in diet cognition, 90.2% of the patients had received diet education, and 26.8% of the patients thought that strict diet therapy and exercise therapy could effectively control blood glucose. The total correct rate of food description and answer was 2.4%, and 85.4% of the patients followed diet control. (2) Logistic regression analysis showed that the factors influencing GDM patients' diet control were age and BMI, education, regular self-monitoring of blood glucose. (3) 41 pregnant women with GDM were treated with individualized diet intervention, 38 of them were significantly lower than those before treatment (P0.01). Conclusion individual diet intervention has obvious therapeutic effect on GDM patients.
【作者单位】：解放军第309医院内分泌风湿免疫科;
【基金】：解放军第309医院面上资助项目(2013MS-001)
【分类号】：R714.256

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