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当前位置：国际护理学研究 > 2024年 6卷 (1)期

Open Access Article

International Journal of Nursing Research. 2024; 6: (1) ; 45-50 ; DOI: 10.12208/j.ijnr.20240013.

Research progress on the influence of individualized medical nutrition therapyon gestational diabetes mellitus
个体化医学营养治疗对妊娠期糖尿病影响的研究进展

作者： 李瑶¹, 黎思颖¹, 黄悦², 黄芳英¹, 谢昕彤¹, 吴伟珍¹ *

1 广州医科大学附属第三医院产科广东广州

2 广州医科大学附属广州市妇女儿童医疗中心产科广东广州

*通讯作者：吴伟珍,单位：广州医科大学附属第三医院产科广东广州；

本文属于妇幼健康管理研究专题特刊稿件

广东省护士协会科研基金（gdshsxh2021a212）广州市卫生科技一般引导项目（穗卫教科（2022）3号）

发布时间: 2024-01-25 总浏览量: 292

PDF 全文下载引用本文

摘要

近年来，妊娠期糖尿病的发病率逐年攀升，已成为妊娠期的常见病。妊娠期糖尿病是妇女在妊娠期首次出现的糖代谢异常，其中15%-30%的妊娠期糖尿病妇女仅需进行个体化医学营养治疗即可稳定血糖水平，同时有效增长体重，保证母亲及胎儿的生长发育。因此，个体化医学营养治疗作为妊娠期糖尿病治疗的基石。强调个体化，根据患者BMI及病情严重程度设定饮食计划，相较于药物治疗，具有安全性和方便性。对于妊娠期糖尿病应及早发现，及早干预，在孕早期进行个体化医学营养治疗有助于降低巨大儿、新生儿窒息的发生，减少妊娠期高血压、胎膜早破等围生期并发症的发生，维持孕妇血糖水平稳定，改善围生儿结局，保障母婴健康安全。

关键词： 妊娠期糖尿病；营养；个体化

Abstract

In recent years, the incidence of gestational diabetes has increased year by year, and has become a common disease during pregnancy. Gestational diabetes mellitus (gestational diabetes mellitus) is the first occurrence of abnormal glucose metabolism in women during pregnancy, among which 15%-30% of gestational diabetes women only need to undergo individualized medical nutrition treatment to stabilize blood sugar level, effectively increase weight, and ensure the growth and development of mother and fetus. Therefore, individualized medical nutrition therapy is the cornerstone of gestational diabetes treatment. Emphasis on individuation, according to the patient's BMI and the severity of the disease to set the diet plan, compared with drug treatment, with safety and convenience. Early detection and intervention of gestational diabetes should be carried out as early as possible. Individualized medical nutrition treatment in early pregnancy is helpful to reduce the occurrence of macrosomia and neonatal asphyxia, reduce the occurrence of perinatal complications such as pregnancy-induced hypertension and premature break of membranes, maintain the stability of pregnant women's blood sugar level, improve the perinatal outcome, and ensure the health and safety of mothers and infants.

Key words： Gestational diabetes mellitus; Nutrition; Individuation

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引用本文

李瑶, 黎思颖, 黄悦, 黄芳英, 谢昕彤, 吴伟珍, 个体化医学营养治疗对妊娠期糖尿病影响的研究进展[J]. 国际护理学研究, 2024; 6: (1) : 45-50.

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