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目的:观察食物交换份法与血糖生成指数(GI)概念联合运用对妊娠期糖尿病(GDM)孕妇孕期血糖及并发症的影响。方法:选取2012年2月~2013年1月在我院产科门诊确诊为GDM单胎孕妇80例,分为实验组42例和对照组38例。对照组采用传统的食物交换份法进行健康教育,实验组采用食物交换份与GI概念联合运用进行健康教育,制定个体化饮食计划,观察两组病人空腹血糖、餐后2 h血糖、糖化血红蛋白、妊娠期并发症。结果:两组空腹血糖、餐后2 h血糖、糖化血红蛋白、妊娠期并发症比较差异均有统计学意义(P<0.05)。结论:联合运用食物交换份法与GI概念进行健康教育有助于控制孕期血糖与并发症的发生。
Objective: To observe the effect of the combination of the food exchange method and the concept of glycemic index (GI) on blood glucose and complications during pregnancy in gestational diabetes mellitus (GDM). Methods: From February 2012 to January 2013, 80 pregnant women diagnosed with single-pregnancy GDM in obstetric clinic of our hospital were selected and divided into experimental group (n = 42) and control group (n = 38). The control group adopted the traditional method of food exchange for health education. The experimental group adopted the combination of food exchange and GI concept to carry out health education. The individual diet plan was formulated. The fasting blood glucose, postprandial blood glucose, glycosylated hemoglobin, Pregnancy complications. Results: There were significant differences in fasting blood glucose, postprandial 2h blood glucose, glycosylated hemoglobin and gestational complications (P <0.05). CONCLUSIONS: The combined use of the Food Exchange Method and the GI concept of health education helps to control the incidence of blood sugar and complications during pregnancy.