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目的观察个体化的营养治疗对妊娠糖尿病患者的临床疗效,为临床治疗提供参考。方法对入选的64例妊娠糖尿病患者进行个体化营养支持治疗,严格控制饮食,观察治疗前后空腹血糖、餐后2h血糖、糖化血红蛋白、白蛋白、总胆固醇、甘油三酯指标变化以及新生儿体重。结果营养治疗后,监测空腹血糖、餐后2h血糖、糖化血红蛋白、白蛋白、总胆固醇、甘油三酯等指标较治疗前相比,显著下降,差异具有统计学意义(P<0.05),新生儿平均体重为(3.18±0.56)kg,无巨大儿,没有低血糖。结论个体化的营养治疗对妊娠糖尿病具有明显的治疗效果,值得临床推广。
Objective To observe the clinical curative effect of individualized nutritional therapy on gestational diabetes mellitus patients and provide reference for clinical treatment. Methods Sixty-four patients with gestational diabetes mellitus were treated with personalized nutrition support. The diet was controlled strictly. The fasting blood glucose, postprandial blood glucose, glycosylated hemoglobin, albumin, total cholesterol and triglyceride were measured before and after treatment. Results After the nutritional therapy, the fasting blood glucose, 2h postprandial blood glucose, glycosylated hemoglobin, albumin, total cholesterol, triglyceride and other indicators were significantly decreased compared with before treatment, the difference was statistically significant (P <0.05), neonatal The average weight was (3.18 ± 0.56) kg, no huge children, no hypoglycemia. Conclusion Individualized nutrition therapy has obvious therapeutic effect on gestational diabetes mellitus, which is worthy of clinical promotion.