CAJ | 학술논문

目的：探讨个性化膳食指导对妊娠期糖尿病患者的干预效果。方法选取本院妇产科门诊妊娠期糖尿病患者219例，进行妊娠期糖尿病知识和个性化膳食指导，根据1周后血糖大轮廓筛查结果将其分为血糖控制理想组（119例）与血糖控制不理想组（100例），比较两组患者的职业、教育程度及治疗依从性。结果血糖控制理想组患者的职业、教育程度、依从性均优于血糖控制不理想组，差异具有显著性（P＜0.05）。结论针对血糖控制不理想患者的具体情况进行知识强化和重复膳食指导，加强血糖监测并根据血糖值和饮食情况进行调整，提高治疗的有效性，降低母婴并发症发生率。
목적：탐토개성화선식지도대임신기당뇨병환자적간예효과。방법선취본원부산과문진임신기당뇨병환자219례，진행임신기당뇨병지식화개성화선식지도，근거1주후혈당대륜곽사사결과장기분위혈당공제이상조（119례）여혈당공제불이상조（100례），비교량조환자적직업、교육정도급치료의종성。결과혈당공제이상조환자적직업、교육정도、의종성균우우혈당공제불이상조，차이구유현저성（P＜0.05）。결론침대혈당공제불이상환자적구체정황진행지식강화화중복선식지도，가강혈당감측병근거혈당치화음식정황진행조정，제고치료적유효성，강저모영병발증발생솔。
ObjectiveTo study the effect of individual diet instruction on gestational diabetes mellitus. MethodChose 219 gestational diabetes mellitus (GDM) pregnant women in the maternity clinic in our hospital to set knowledge of GDM and personalized dietary guidance, according to the blood sugar level after 1-week divided into ideal blood sugar control group (119 cases) and poor glucose control group (100 cases), compared two groups of patients with occupation, education level, compliance.ResultIdeal blood sugar control groups of occupation, level of education, compliance were better than poor glucose control group, the difference was signiifcant (P<0.05).ConclusionAiming at the poor glucose control in patients with speciifc conditions are knowledge intensive and repeated dietary guidance, to strengthen the detection of blood glucose and adjusted according to the numerical and dietary glucose, improve the effectiveness of treatment, reduce the incidence of the complications of mothers and infants.