摘要
目的观察孕期专用食物交换份法对妊娠期糖代谢异常孕妇生化指标和妊娠结局的影响，评价其对饮食指导的有效性。方法选取接受检查并分娩的妊娠期糖代谢异常孕妇共67例，将其按随机数字表法分成传统食物交换份组（33例）和孕期专用食物交换份组（34例），两组均采用相应的饮食指导方法进行干预，直至分娩。比较两组干预前后的血生化指标及母婴围生期结局。结果治疗后，孕期专用食物交换份组的空腹血糖（FBG）、餐后2h血糖（PBG）、糖化血红蛋白（HbA1c）和三酰甘油（TG）均较治疗前明显下降（P〈0．05或〈0．01），传统食物交换份组仅有PBG、HbA1C、TG较治疗前下降（P〈O．01），孕期专用食物交换份组治疗后PBG、HbA，C、TG较传统食物交换份组低（P〈O．01），且随访3个月仍然存在（P〈0．01）。孕期专用食物交换份组孕妇并发症总发生率明显低于传统食物交换份组[14．71％（5，34）比36．36％（12／33）]，差异有统计学意义（P〈0．05），而新生儿并发症发生率两组比较差异无统计学意义（P〉0．05）。结论孕期专用食物交换份法能改善妊娠期糖代谢异常孕妇的血糖和血脂水平，并降低母婴不良妊娠结局的发生，是一种值得推广和应用的饮食指导方法。
Objective To observe the effect of exclusive pregnancy food exchange method on biochemical index and pregnancy outcome on pregnant women with abnormal glycometabolism, and evaluate its effectiveness on dietary guidance. Methods Sixty-seven pregnant women with abnormal glyeometabolism who accepted physical examination and gave birth, were divided into traditional food exchange group （control group,33 eases） and exclusive pregnancy food exchange group （observation group,34 cases）,and were given respective intervention until the childbirth. The blood biochemical indexes and the pregnancy outcome between two groups were compared. Results Fasting blood glucose （FBG）, 2 h postprandial blood glucose （PBG） ,glycosylated hemoglobin （HbAIc） and triglyeride （TG） in observation group after treatment were significantly lower than those before treatment （P 〈 0.05 or 〈 0.01 ）. PBG, HbAle and TG in control group after treatment were significantly lower than those before treatment （P 〈 0.01 ）. After treatment, PBG, HbAtc and TG in observation group were significantly lower than those in control group （P 〈 0.01 ）, after 3 months follow-up, differences still existed （P 〈 0.01 ）. The total incidence of pregnant women complications in observation group was much lower than that in control group [ 14.71%（5/34） vs. 36.36%（ 12/33 ） ,P〈 0.055, there was no significant difference between two groups on neonatal complications （P 〉 0.05 ）. Conclusions Exclusive pregnancy food exchange method can improve pregnant glyeometabolism and lipid metabolism of pregnant women with abnormal glycometabolism,and reduce the incidence of pregnant women and infant adverse pregnancy outcome. It is great worthy to popularize and apply in dietary guidelines.
出处
《中国医师进修杂志》
2013年第3期14-16,共3页
Chinese Journal of Postgraduates of Medicine
关键词
妊娠
葡萄糖代谢障碍
食物交换份法
Pregnancy
Glucose metabolism disorders
Food exchange method
