认知观点、饮食干预和运动指导对妊娠糖尿病的疗效评价

Abstract
Figure/Table
References
Related Citation (9)

Download: PDF (794 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To investigate the the status of gestational diabetes mellitus dietary nutrition,cognitive point of view, and self management in patients with gestational diabetes mellitus,and to discuss the effect of cognitive view, individualized dietary intervention and exercise guidance on gestational diabetes mellitus patients. Methods Forty-one GDM pregnant women received questionnaire survey. Logistic regression analysis was conducted to evaluate the influencing factors on GDM patients following the diet control. Individualized dietary regimen and exercise mode were the diet control, worked out. Monitor three meals ,blood glucose, glycated hemoglobin (HbA₁c), total cholesterol (TC), triacyl glycerol (TAG) anollheir value changes before and after the intervention were compared.　Results (1) Cognition: 37 patients received dietary education (92.5%); 27.5% of the patients believed that diet therapy alone can effectively control blood sugar; the answers of to guestion of the effect of food on blood sugar were all wrong,the right answers to question on description of the food constituted only 2.5%. (2) Logistic regression analysis showed that age, educational level, BMI, having achieved diet education,regular self monitoring of blood sugar,regular visit to the hospital for checking diabetes are the influencing factors on GDM patients following the diet control.(3)Compared with the formor level, 2 h HPG, HbA₁c, TC, TAG all significantly declined after the intervention with significant difference (P<0.01). Conclusions GDM patients’ diet cognitive level is not high in China. Patients of older age, higher educational level and having received diet education, regular checking and self-monitoring of blood glucose following the diet control show good condition.Individualized dietary and exercise therapy have obvious therapeutic effect on GDM patients.

Key words： gestational diabetes mellitus the cognitive view dietary interventions exercise guidance

Received: 04 June 2014

ZTFLH:

R587.1

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	JIA Xiao-Wei
	ZHAO Xin
	JIA He-Tang

Cite this article:

JIA Xiao-Wei,ZHAO Xin,JIA He-Tang. Evaluation of curative effect of cognitive view, dietary intervention and exercise guidance on gestational diabetes mellitus[J]. , 2014, 25(8): 768-770.

URL:

http://journal08.magtechjournal.com/Jwk_wjyx/EN/ OR http://journal08.magtechjournal.com/Jwk_wjyx/EN/Y2014/V25/I8/768

[1]	陆再英,钟南山.内科学[M].7版.北京:人民卫生出版社,2010:775.
[1]	陆再英,钟南山.内科学[M].7版.北京:人民卫生出版社,2010:775.
[2]	Steven G,Gabbie M D,Cornelia R,et al. Management of diabetes mellitus complicating pregnancy[J].Obstet Gynecol,2003,12(4):857-868.
[2]	Steven G,Gabbie M D,Cornelia R,et al. Management of diabetes mellitus complicating pregnancy[J].Obstet Gynecol,2003,12(4):857-868.
[3]	Gasim T.Gestational diabetes mellitus: maternal and perinatal outcomes in 220 Saudi women [J].Oman Med J,2012,27 (2) :140-144.
[3]	Gasim T.Gestational diabetes mellitus: maternal and perinatal outcomes in 220 Saudi women [J].Oman Med J,2012,27 (2) :140-144.
[4]	Korpi-Hyovalti E A, Laaksonen D E, Schwab U S, et al. Feasibility of a lifestyle intervention in early pregnancy to prevent deterioration of glucose tolerance [J].BMC Public Health,2011,11(3) :179.
[4]	Korpi-Hyovalti E A, Laaksonen D E, Schwab U S, et al. Feasibility of a lifestyle intervention in early pregnancy to prevent deterioration of glucose tolerance [J].BMC Public Health,2011,11(3) :179.
[5]	中华医学会糖尿病分会.中国2型糖尿病防治指南[M].北京:北京大学医学出版社,2010:47.
[5]	中华医学会糖尿病分会.中国2型糖尿病防治指南[M].北京:北京大学医学出版社,2010:47.
[6]	高少波,徐美玲,李欣.个性化饮食和运动疗法对妊娠期糖尿病母婴结局影响[J].青岛大学医学院学报,2012,48(6):534.
[6]	高少波,徐美玲,李欣.个性化饮食和运动疗法对妊娠期糖尿病母婴结局影响[J].青岛大学医学院学报,2012,48(6):534.
[7]	马立茹. 饮食控制对42例妊娠糖尿病的治疗效果观察[J].吉林医学,2014,35(12):2614.
[7]	马立茹. 饮食控制对42例妊娠糖尿病的治疗效果观察[J].吉林医学,2014,35(12):2614.
[8]	李冉,李巍,闫赋琴. 妊娠糖尿病营养治疗的研究[J].中国优生与遗传杂志,2014,22(1):131.
[8]	李冉,李巍,闫赋琴. 妊娠糖尿病营养治疗的研究[J].中国优生与遗传杂志,2014,22(1):131.
[9]	Crowther C A, Hiller J E, Moss J R, et al. Effect of treatment of gestational diabetes mellitus on pregnancy outcomes [J]. N Engl J Med, 2005, 352 (24):2477-2486.
[9]	Crowther C A, Hiller J E, Moss J R, et al. Effect of treatment of gestational diabetes mellitus on pregnancy outcomes [J]. N Engl J Med, 2005, 352 (24):2477-2486.
[10]	Landon M B, Spong C Y, Thom E, et al. A multicenter, randomized trial of treatment for mild gestational diabetes[J]. N Engl J Med, 2009,361 (14):1339-1348.
[10]	Landon M B, Spong C Y, Thom E, et al. A multicenter, randomized trial of treatment for mild gestational diabetes[J]. N Engl J Med, 2009,361 (14):1339-1348.
[11]	曾媛,袁丽佳,王琳,等.不同的医学营养治疗方法对妊娠糖尿病的疗效评价[J].第三军医大学学报,2013,35(10):1030.
[11]	曾媛,袁丽佳,王琳,等.不同的医学营养治疗方法对妊娠糖尿病的疗效评价[J].第三军医大学学报,2013,35(10):1030.
[12]	Mclntyre H,Chang A,Callway L, et al.Hormonal and metabolic factors associated with variations in insulin sensitivity in normal preqnancy[J].Diabetes Care,2010,33(2):356-360.
[12]	Mclntyre H,Chang A,Callway L, et al.Hormonal and metabolic factors associated with variations in insulin sensitivity in normal preqnancy[J].Diabetes Care,2010,33(2):356-360.
[13]	钟冕,潘文松,黄洁明.妊娠糖尿病患者经营养门诊治疗后微量元素的变化[J].重庆医学,2014,43(8):969.
[13]	钟冕,潘文松,黄洁明.妊娠糖尿病患者经营养门诊治疗后微量元素的变化[J].重庆医学,2014,43(8):969.