摘要
Abstract
Objective:To evaluate the effect of diet education based on blood glucose load on gestational diabetes mellitus patients,and to provide a basis for the dietary choice of gestational diabetes mellitus patients.Methods:The randomized controlled trials (RCTs) of blood glucose-based dietary education applied in gestational diabetes mellitus patients were searched and collected from Cochrane Library,PubMed,EBSCO,Medline,CBMdisc,CNKI,Wanfang database,and VIP database.Literatures were evaluated and extracted strictly by 2 reviewers according to quality evaluation standard,and the RevMan 5.3 software was used to analyze.Results:A total of 9 articles involving 835 patients were included.Meta-analysis showed that compared with the routine diet education,the diet education based on blood glucose load did not cause statistically significant difference in glycated hemoglobin(WMD=-1.08,95% CI(-2.18,0.02),P=0.06),however,it could significantly reduce the fasting blood glucose [WMD=-0.92,95% CI(-1.60,-0.25),P=0.007],postprandial 2 h blood glucose [WMD=-1.68,95% CI(-2.50,-0.87),P=0.000 1],and the incidence of adverse pregnancy outcomes[RR=-0.57,95% CI(0.36,0.90),P=0.02].Conclusions:Dietary education based on blood glucose load was more helpful to improve the blood glucose level of gestational diabetes mellitus patients,reduce maternal and infant complications and improve perinatal outcome.关键词
妊娠期糖尿病/血糖负荷/饮食教育/Meta分析/血糖/不良妊娠结局Key words
gestational diabetes mellitus/blood glucose load/dietary education/meta-analysis/blood glucose/adverse pregnancy outcome分类
医药卫生
