中国全科医学
中國全科醫學
중국전과의학
CHINESE GENERAL PRACTICE
2015年
14期
1608-1613
,共6页
糖尿病,妊娠%食品,配方%血糖自我监测%体重变化
糖尿病,妊娠%食品,配方%血糖自我鑑測%體重變化
당뇨병,임신%식품,배방%혈당자아감측%체중변화
Diabetes,gestational%Food,formulated%Blood glucose self - monitoring%Body weight changes
妊娠糖尿病是产科常见疾病，对胎儿和母体会均造成诸多不良影响。饮食治疗是控制血糖、减少妊娠糖尿病不良影响的重要措施之一。国内外研究表明，大部分妊娠糖尿病患者经过严格的饮食治疗，再配合适当运动，均能获得满意的血糖控制。但相关指南中关于妊娠糖尿病饮食治疗的阐述仅限于治疗原则，并且数据多来源于欧美国家，对国人来讲，个体化治疗内容欠缺，并且操作性方面也不够理想，容易引起能量摄入过量或不足等问题。本文结合笔者多年临床经验、国内外研究进展及妊娠糖尿病饮食治疗指南，详细阐述了个体化饮食治疗的具体实施方案，旨在改善妊娠糖尿病患者的妊娠结局。
妊娠糖尿病是產科常見疾病，對胎兒和母體會均造成諸多不良影響。飲食治療是控製血糖、減少妊娠糖尿病不良影響的重要措施之一。國內外研究錶明，大部分妊娠糖尿病患者經過嚴格的飲食治療，再配閤適噹運動，均能穫得滿意的血糖控製。但相關指南中關于妊娠糖尿病飲食治療的闡述僅限于治療原則，併且數據多來源于歐美國傢，對國人來講，箇體化治療內容欠缺，併且操作性方麵也不夠理想，容易引起能量攝入過量或不足等問題。本文結閤筆者多年臨床經驗、國內外研究進展及妊娠糖尿病飲食治療指南，詳細闡述瞭箇體化飲食治療的具體實施方案，旨在改善妊娠糖尿病患者的妊娠結跼。
임신당뇨병시산과상견질병，대태인화모체회균조성제다불량영향。음식치료시공제혈당、감소임신당뇨병불량영향적중요조시지일。국내외연구표명，대부분임신당뇨병환자경과엄격적음식치료，재배합괄당운동，균능획득만의적혈당공제。단상관지남중관우임신당뇨병음식치료적천술부한우치료원칙，병차수거다래원우구미국가，대국인래강，개체화치료내용흠결，병차조작성방면야불구이상，용역인기능량섭입과량혹불족등문제。본문결합필자다년림상경험、국내외연구진전급임신당뇨병음식치료지남，상세천술료개체화음식치료적구체실시방안，지재개선임신당뇨병환자적임신결국。
Gestational diabetes mellitus(GDM)is a common disease of obstetrics,which has many adverse effects on fetuses and mothers. Diet therapy is one of the most important therapeutic options to control blood glucose and reduce adverse effects. Domestic and foreign research shows that most patients with GDM can obtain satisfactory glycemic control after strict diet therapy and exercise intervention. But the recommendation on GDM in Clinical Practice Guideline is focused on treatment principles and is based on the data from European and American countries. There is a lack of individualized and operational guidelines,which is easy to cause excessive or insufficient energy intake in patients. In this paper,by drawing on many years'clinical experience,domestic and foreign research progress and the current guidelines on diet therapy for GDM treatment,we introduced individualized diet therapy and detailed implementation plan,in order to improve the pregnancy outcome in patients with GDM.
