个体化饮食管理对妊娠期糖尿病患者依从性及妊娠结局的影响分析

摘要

Objective:To study the impact of individualized diet management (IDM)on compliance and pregnancy outcomes of patients with gestational diabetes(GDM).Method:122 GDM patients willing to cooperate with IDM were divided into observation group(IDM adhere time>1 week,n=72) and control group(IDM adhere time<1 week,n=50).Two groups had periodic follow-up until fetal childbirth. Adverse pregnancy outcomes,IDM body mass index (BMI),compliance and satisfaction of 2 groups were compared.Result:Compared with control group,hydramnios,premature rupture of membranes, preterm birth and other adverse pregnancy outcomes rate of observation group was reduced;compliance,very satisfaction rate and overall satisfaction rate were increased(P<0.05).BMI of observation group after birth increased was (5.02±0.87)kg/m2, which were lower than the (5.95±0.94)kg/m2 of control group(P<0.05).Conclusion:IDM used in GDM patients can reduce adverse pregnancy outcomes, control BMI and improve compliance and satisfaction.%目的：探讨个体化饮食管理（IDM）对妊娠期糖尿病（GDM）患者依从性及妊娠结局的影响。方法：将122例愿意配合IDM的GDM患者根据SDM坚持情况分为观察组（坚持IDM，n=72）和对照组（IDM坚持时间<1周，n=50），两组均定期随访至胎儿娩出。统计观察组IDM后两组不良妊娠结局、体质量（BMI）增长情况、依从性及满意度。结果：与对照组比较，观察组羊水过多、胎膜早破、早产等不良妊娠结局的总发生率降低，依从性、非常满意的患者比例和总体患者满意度均提高（P<0.05）。观察组分娩后BMI增加（5.02±0.87）kg/m2，低于对照组的（5.95±0.94）kg/m2（P<0.05）。结论：GDM患者行IDM可减少其不良妊娠结局的发生，有利于其体质量指数的控制和依从性及满意度的提高，值得临床推广使用。