不同能量系数取值对妊娠期糖尿病患者血糖及新生儿体重的影响

Abstract
Figure/Table
References (25)
Related Citation (9)

Download: PDF (589 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To investigate of the effects of daily energy supply on blood sugar management of patients with gestational diabetes mellitus and neonatal weight using different energy coefficients. Methods From October 2016 to June 2017, 85 patients with gestational diabetes mellitus enrolled in the One-day Outpatient for Diabetes of Beijing Luohe Hospital affiliated to Capital Medical University ("our hospital" for short) were selected as the study group, and the patients who calculated the energy supply with the lower limit of the energy coefficient as the study group A (n = 43), the patient who calculated the energy supply with the upper limit of the energy coefficient as the study group B (n = 42); the patients with gestational diabetes mellitus who took the pregnancy test at the same time and did not participate in the One-day Outpatient for Diabetes in our hospital as the control group (n = 50). The glycosylated hemoglobin, the positive rate of urinary ketone body and neonatal weight in the study group and the control group were monitored and followed up. The blood sugar before and 2 hours after meals in One-day Outpatient for Diabetes, urinary ketone body and neonatal weight in group A and group B were monitored. Results The glycated hemoglobin of the study group was significantly lower than that of the control group (P < 0.05). The neonatal weight in the study group was significantly lower than that of the control group (P < 0.05). The blood sugar compliance rate of study group A was higher than that of study group B, and the difference was statistically significant (P < 0.05). The postprandial blood sugar of study group A was lower than that of study group B, the difference was not statistically significant (P > 0.05). The neonatal weight of study group A was significantly lower than that of the study group B, and the difference was statistically significant (P < 0.05). Conclusion One-day Outpatient for Diabetes is beneficial to patients with gestational diabetes to better control blood sugar and reduce the incidence of macrosomia. Taking the lower limit of the energy coefficient to calculate the total calories can ensure the energy needs of pregnant women, and does not increase the incidence of hypoglycemia and the positive rate of ketone body, which is conducive to blood sugar compliance.

Key words： Energy coefficient Gestational diabetes mellitus One-day Outpatient of Diabetes Newborn weight

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	HAN Yuyu ZHAO Xiuling▲ MA Wei TIAN Dan PANG Yaru

Cite this article:

HAN Yuyu ZHAO Xiuling▲ MA Wei TIAN Dan PANG Yaru. Effect of different energy coefficients on blood sugar in patients with gestational diabetes mellitus and neonatal weight[J]. 中国医药导报, 2019, 16(3): 93-96.

URL:

http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2019/V16/I3/93

[1] American Diabetes Association. Standards of medical care in diabetes-2010 [J]. Diabetes Care，2010，33（Suppl l）：S11-S61.
[2] Simeoni U，Barker DJ. Offspring of diabetic pregnancy：long-term outcomes [J]. Semin Fetal Med，2009，14（2）：119-124.
[3] 关怀，尚丽新.妊娠期糖尿病流行现状[J].中国实用妇科与产科杂志，2015，31（1）：91-94.
[4] Collares CV，Evangelista AF，Xavier DJ，et al. Transcriptome meta-analysis of peripheral lymphomononuclear cells indicates that gestational iabetes is closer to type 1 diabetes than to type 2 diabetes mellitus [J]. Mol Biol Rep，2013，40（9）：5351-5358.
[5] 解冰洁，郭朋鸽，彭婷婷，等.孕前BMI及孕期体育活动与妊娠期糖尿病的关系[J].中华疾病控制杂志，2016，20（4）：362-365.
[6] 谢幸，苟文丽.妇产科学[M].北京：人民卫生出版社，2013.
[7] 杨慧霞.妊娠合并糖尿病实用手册[M].北京：人民卫生出版社，2012.
[8] 杨慧霞.妊娠合并糖尿病-临床实践与指南[M].2版.北京：人民卫生出版社，2014.
[9] 中华医学会妇产科学分会产科学组，中华医学会围产医学分会妊娠合并糖尿病协作组.《妊娠合并糖尿病诊治指南（2014）》[J].中华妇产科杂志，2014，49（8）：561-569.
[10] Landon MB，Spong CY，Thom E，et al. A multicenter，randomized trial of treatment for mild gestational diabetes [J]. N Engl J Med，2011，361（14）：1339-1348.
[11] 苏世萍，张岱，刘春红，等.妊娠期糖尿病一日门诊管理实践与效果[J].中国护理管理，2012，12（7）：66-68.
[12] 胡盛洁，姚微，范淑丽.妊娠期糖尿病一日门诊对改善患者遵医行为的作用[J].中华现代护理杂志，2014，20（19）：2394-2397.
[13] 蔡美玲，孙晓妙.浅谈一日门诊的开展对妊娠期糖尿病结局的影响[J].母婴世界，2017（5）：46.
[14] 罗文娟，李琛.妊娠期糖尿病孕妇一日门诊对胎儿体重的影响[J].医疗装备，2016，29（22）：47-48.
[15] 刘乐融，欧阳冬生，周栋，等.妊娠期糖尿病的医学营养治疗进展[J].中国糖尿病杂志，2017，25（4）：376-380.
[16] 温延丽.个性化营养膳食对妊娠期糖尿病患者血糖控制效果及并发症的影响分析[J].中国妇幼保健，2015，30（32）：5561-5562.
[17] 唐晓霞，张巧.个体化饮食控制对妊娠期糖尿病患者妊娠结局的影响观察[J].糖尿病新世界，2017，20（3）：31-32.
[18] 牛杨，李继，盛金叶，等.膳食营养干预对妊娠期糖尿病妊娠结局的作用[J].中华全科医学，2017，15（2）：295-297.
[19] 许佳婧，王淑娥.营养干预治疗妊娠期糖尿病患者的临床效果[J].中国妇幼保健，2017，32（21）：5240-5242.
[20] 孙宇，赵红.生活方式干预预防妊娠期糖尿病的研究现状[J].中华护理杂志，2013，48（8）：753-756.
[21] 王玮，黄兴全，姜兰叶，等.脂肪代谢水平变化与妊娠期糖尿病发病的相关性分析[J].疑难病杂志，2018，17（5）：460-463.
[22] 任萍，刘芳.妊娠期糖尿病患者孕中晚期血清中SOD、MDA和GLP-1水平变化与母婴不良结局的相关性分析[J].成都医学院学报，2018，13（4）：449-451，455.
[23] 陈雪云.多学科联合对妊娠糖尿病患者饮食干预效果观察[J].中国现代医生，2017，55（36）：155-157.
[25] 沈丽芳，宋歌，黄庆，等.妊娠糖尿病患者血清FABP4、Chemerin、Nesfatin-1与胰岛素抵抗和胰岛β细胞功能的关系分析[J].疑难病杂志，2017，16（2）：160-163.
[25] 吴红艳，董金华.个体化的孕前体质量指数干预对妊娠期糖耐量受损孕妇妊娠结局的影响[J].中国现代医生，2018，56（9）：65-68.