[1]黄招香,黄尚红,钟晓燕.个体化孕期营养指导对妊娠期糖尿病患者糖脂代谢及脂肪因子的影响[J].医学信息,2024,37(17):101-104.[doi:10.3969/j.issn.1006-1959.2024.17.020]
　HUANG Zhao-xiang,HUANG Shang-hong,ZHONG Xiao-yan.Effect of Individualized Nutrition Guidance During Pregnancy on Glucose and Lipid Metabolismand Adipokines in Patients with Gestational Diabetes Mellitus[J].Journal of Medical Information,2024,37(17):101-104.[doi:10.3969/j.issn.1006-1959.2024.17.020]
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个体化孕期营养指导对妊娠期糖尿病患者糖脂代谢及脂肪因子的影响()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
37卷
期数:
2024年17期
页码:
101-104
栏目:
论著
出版日期:
2024-09-01

文章信息/Info

Title:
Effect of Individualized Nutrition Guidance During Pregnancy on Glucose and Lipid Metabolismand Adipokines in Patients with Gestational Diabetes Mellitus
文章编号:
1006-1959（2024）17-0101-04
作者:
黄招香; 黄尚红; 钟晓燕
于都县人民医院体检中心，江西 于都 342300
Author(s):
HUANG Zhao-xiang; HUANG Shang-hong; ZHONG Xiao-yan
Physical Examination Center,Yudu County People’s Hospital,Yudu 342300,Jiangxi,China
关键词:
个体化孕期营养指导; 妊娠期糖尿病; 糖脂代谢; 脂肪因子
Keywords:
Individualized nutrition guidance during pregnancy; Gestational diabetes mellitus; Glucose and lipid metabolism; Adipokines
分类号:
R714.256
DOI:
10.3969/j.issn.1006-1959.2024.17.020
文献标志码:
A
摘要:
目的 观察个体化孕期营养指导对妊娠期糖尿病患者糖脂代谢及脂肪因子的影响。方法 选取2022年1月-2023年1月我院收治的76例妊娠期糖尿病患者为研究对象，采用随机数字表法分为对照组和观察组，各38例。对照组给予常规饮食指导及正常产检，观察组在此基础上给予个体化孕期营养指导。比较两组血糖指标、血脂指标[总胆固醇（TC）、甘油三酯（TG）、低密度脂蛋白胆固醇（LDL-C）、高密度脂蛋白胆固醇（HDL-C）]、孕期并发症、妊娠结局及焦虑和抑郁评分。结果 两组空腹血糖、糖化血红蛋白、餐后2 h血糖均低于治疗前，且观察组低于对照组（P＜0.05）；两组TC、TG、LDL-C、HDL-C均低于治疗前，且观察组低于对照组（P＜0.05）；观察组孕期并发症发生率（10.53%）低于对照组（21.05%）（P＜0.05）；观察组不良妊娠结局发生率为13.16%，低于对照组的28.95%（P＜0.05）；两组焦虑、抑郁评分低于治疗前，且观察组低于对照组（P＜0.05）。结论 个体化孕期营养指导治疗对妊娠期糖尿病患者糖脂代谢及脂肪因子具有积极的促进作用，可降低其妊娠期并发症，改善妊娠结局和不良心理，具有较理想的效果。
Abstract:
Objective To observe the effect of individualized nutrition guidance during pregnancy on glucose and lipid metabolism and adipokines in patients with gestational diabetes mellitus.Methods A total of 76 patients with gestational diabetes mellitus admitted to our hospital from January 2022 to January 2023 were selected as the research objects. They were divided into control group and observation group by random number method, with 38 patients in each group. The control group was given routine dietary guidance and normal prenatal examination, and the observation group was given individualized nutritional guidance during pregnancy on this basis. The blood glucose index, blood lipid index [total cholesterol (TC), triglyceride (TG), low density lipoprotein cholesterol (LDL-C), high density lipoprotein cholesterol (HDL-C)], pregnancy complications, pregnancy outcome and anxiety and depression scores were compared between the two groups.Results The fasting blood glucose, glycosylated hemoglobin and 2 h postprandial blood glucose in the two groups were lower than those before treatment, and those in the observation group were lower than those in the control group (P<0.05). TC, TG, LDL-C and HDL-C in the two groups were lower than those before treatment, and those in the observation group were lower than those in the control group (P<0.05). The incidence of pregnancy complications in the observation group (10.53%) was lower than that in the control group (21.05%) (P<0.05). The incidence of adverse pregnancy outcomes in the observation group was 13.16%, which was lower than 28.95% in the control group (P<0.05). The anxiety and depression scores of the two groups were lower than those before treatment, and those of the observation group were lower than those of the control group (P<0.05).Conclusion Individualized nutrition guidance during pregnancy has a positive effect on glucose and lipid metabolism and adipokines in patients with gestational diabetes mellitus, which can reduce pregnancy complications, improve pregnancy outcomes and adverse psychology, and has an ideal effect.

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更新日期/Last Update: 1900-01-01