CAJ | 학술논문

目的：观察个体化医学营养治疗对妊娠期糖尿病（GDM）血糖控制、体重变化及母儿结局的影响。方法146例 GDM 患者根据入院时间分为对照组和干预组，对照组采用传统的健康教育，干预组实施个体化的医学营养治疗，观察两组孕妇干预前后血糖水平、体重变化和母儿结局。结果两组患者干预后血糖水平较治疗前明显改善（P＜0.05）；干预组体重增加更为合理（P ＜0.05）；干预组母儿结局优于对照组（P ＜0.05）。结论个体化医学营养治疗可以有效控制 GDM患者血糖水平及孕期体重变化，改善 GDM 患者母儿结局。
목적：관찰개체화의학영양치료대임신기당뇨병（GDM）혈당공제、체중변화급모인결국적영향。방법146례 GDM 환자근거입원시간분위대조조화간예조，대조조채용전통적건강교육，간예조실시개체화적의학영양치료，관찰량조잉부간예전후혈당수평、체중변화화모인결국。결과량조환자간예후혈당수평교치료전명현개선（P＜0.05）；간예조체중증가경위합리（P ＜0.05）；간예조모인결국우우대조조（P ＜0.05）。결론개체화의학영양치료가이유효공제 GDM환자혈당수평급잉기체중변화，개선 GDM 환자모인결국。
Objective To investigate the effect of individualized medical nutrition therapy in gestational diabetes’ blood glucose control,weight change and pregnancy outcome. Methods 148 cases of GDM according to admission time were divided into observation group and control group. The control group received the traditional health guidance and the treatment group received the individualized medical nutrition therapy. The Blood sugar level, weight changes and pregnancy outcome were compared. Results The blood sugar levels after intervention were improved than before (P<0.05), The weight gain in observation group was more reasonable (P<0.05). The pregnancy outcome of observation group was superior to that of control group (P<0.05). Conclusion The individualized medical nutrition therapy can effectively control the blood glucose control, weight change and pregnancy outcome.