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目的:用2种计算热量的方法进行个性化营养治疗妊娠糖尿病(GDM),探讨更合理的热量计算方法。方法:对145例妊娠糖尿病患者进行2种不同的个性化营养治疗,监测患者血糖水平、尿酮体、妊娠的结局等。结果:患者通过2种方法治疗后均取得良好效果,血糖控制显著改善,体重增加、妊娠结局都较理想,均无尿酮体现象发生。Ⅱ组血糖控制更加理想,防止妊娠期体重超重更明显。结论:个性化营养治疗能显著改善妊娠糖尿病血糖水平等,细化的热量计算方法效果更明显。
OBJECTIVE: To conduct personalized nutrition treatment of gestational diabetes (GDM) with two methods of calculating calories to explore a more reasonable caloric calculation method. Methods: Two kinds of personalized nutrition therapy were given to 145 patients with gestational diabetes mellitus, and the blood sugar level, urine ketone body and pregnancy outcome were monitored. Results: The patients achieved good results after treatment by two methods, the blood sugar control was significantly improved, weight gain, pregnancy outcome were better, no urine ketone bodies occurred. Group Ⅱ blood glucose control more ideal to prevent overweight during pregnancy more obvious. Conclusion: Individualized nutrition therapy can significantly improve the blood glucose level of gestational diabetes mellitus, and the detailed caloric calculation method is more effective.