Objective To investigate the effect of low blood sugar dietary patterns on blood sugar and adverse pregnancy outcomes in pregnant women with gestational diabetes mellitus.Methods 100 pregnant women with gestational diabetes mellitus were randomly divided into experimental group and control group,50 cases in each group.Control group received traditional treatment method of impaired glucose tolerance insulin therapy and dietary guidance; experimental group received impaired glucose tolerance dietary patterns intervention on the basis of conventional guide,including:1,the establishment of maternal personal files,2,diversified training and education,3,the establishment of impaired glucose tolerance dietary patterns for each pregnant women,4,tracking management on each impaired glucose tolerance case.Results 10 weeks after intervention,fasting blood-glucose,2 hour postprandial blood glucose,glycosylated hemoglobin in experimental group were significantly lower than those in control group (P＜0.05); the rates of pregnancy induced hypertension,premature,low birth weight infant,macrosomia,neonatal hyperbilirubinemia in experimental group were significantly lower than those in control group (P＜0.05).Conclusion Low blood sugar dietary patterns is helpful to the recovery of blood sugar in pregnant women with gestational diabetes mellitus,which can prevent and reduce complications in mothers and children.%目的 探讨采用低血糖膳食模式对妊娠期糖尿病孕妇血糖及妊娠结局的影响.方法 以100例妊娠期糖尿病孕妇为研究对象,随机分为实验组和对照组各50例,对照组按糖耐量异常传统的治疗方法胰岛素治疗及饮食指导,实验组在常规指导的基础上进行糖耐量异常膳食模式干预,措施包括:1、建立孕妇个人档案,2、采用多样化形式进行培训及教育,3、帮助孕妇制定糖耐量异常膳食计划,4、进行糖耐量异常个案追踪管理.结果 实验组孕妇在接受低血糖膳食模式干预10周后空腹血糖、餐后2h血糖、糖化血红蛋白明显低于对照组(P＜0.05);实验组孕妇妊高征、早产儿、低体重儿、巨大儿、新生儿高胆红素血症比例明显低于对照组(P＜0.05).结论 运用低血糖膳食模式有利于妊娠期糖尿病(GDM)孕妇血糖的恢复,预防和减少母儿并发症的发生.
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