CAJ | 학술논문

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2h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。
목적：관찰식물교환빈법여혈당생성지수(GI)개념연합운용대임신기당뇨병(GDM)잉부잉기혈당급병발증적영향。방법：선취2012년2월～2013년1월재아원산과문진학진위GDM단태잉부80례，분위실험조42례화대조조38례。대조조채용전통적식물교환빈법진행건강교육，실험조채용식물교환빈여GI개념연합운용진행건강교육，제정개체화음식계화，관찰량조병인공복혈당、찬후2h혈당、당화혈홍단백、임신기병발증。결과：량조공복혈당、찬후2 h혈당、당화혈홍단백、임신기병발증비교차이균유통계학의의(P<0.05)。결론：연합운용식물교환빈법여GI개념진행건강교육유조우공제잉기혈당여병발증적발생。
Objective To explore the effect of combined applying food exchange portion and glycemic index (GI) concept on blood sugar and complications of gestational diabetes pregnant women.Methods 80 cases of GDM patients with single fetus in our hospital during February, 2012 and January, 2013 were randomly divided into experimental group and control group. 42 cases were selected as experimental group and 38 cases were chosen as control group. Patients of control group were carried out health education by adopting traditional food exchange portion. However, patients of experimental group were given health education by applying combined food ex-change portion with GI concept. And individualized diet plans were worked out for them. Fasting blood sugar, postgrandial 2h glucose, glycosylated hemoglobin and pregnancy complication were observed. Results There were statistical significant differences between two group cases in terms of fasting plasma glucose, postgrandial 2h glu-cose, glycosylated hemoglobin and pregnancy complications (P<0.05). Conclusion Combined applying food ex-change portion with GI concept to carry out health education may help to control blood sugar and complications for pregnancy diabetes patients.