摘要
目的观察孕期营养指导对妊娠期糖尿病（GDM）病人妊娠结局的影响,并探讨其临床意义。方法2010年5月—2013年4月,我院收治GDM病人212例,按随机数字表法分为对照组与观察组,对照组106例病人采用常规孕期护理模式干预,观察组106例病人在对照组的基础上行孕期营养指导,比较两组病人的妊娠结局。结果观察组病人羊水过多、孕期感染、妊娠期高血压及糖尿病急性并发症的发生率均较对照组明显降低,差异具有显著性（χ2=5.627~8.865,P〈0.05）。观察组围生期新生儿窒息、巨大儿、转新生儿重症监护室治疗率及围生儿病死率均较对照组明显降低,差异具有显著性（χ2=6.735~9.634,P〈0.05）。结论孕期营养指导能降低围生期不良并发症,提高自然分娩率,改善母儿预后。
Objective To observe the effect of nutrition guidance during pregnancy on its outcome in patients with gesta- tional diabetes （GDM） and explore its clinical significance. Methods From May 2010 to April 2013, 212 patients with GDM were treated in our hospital, who were evenly randomized to a control group and observation group. The patients in the control group received routine prenatal care, and those in the observation group were offered pregnancy nutrition guidance in addition to routine care same as carried out in the control group. The outcomes of patients between the two groups were then compared. Re- sults The incidence of polyhydramnios, infection during pregnancy, gestational hypertension and acute complication in patients of the observation group was markedly lower than that in the control group, the differences being significant （X2= 5.627-8.865,P〈 0.06）. The incidence of perinatal asphyxia, great children, the rate of transferring to NICU treatment and perinatal mortality were lower in the observation group versus the control （Zz =6.735-9.634,P〈0.05）. Conclusion Pregnancy nutrition guidance can reduce adverse perinatal complieations, raise the natural birth rate, and improve maternal and prenatal prognosis.
出处
《青岛大学医学院学报》
CAS
2015年第1期105-106,109,共3页
Acta Academiae Medicinae Qingdao Universitatis
关键词
受孕期
营养指导
糖尿病
妊娠
妊娠结局
fertile period nutritional guidance diabetes, gestational pregnancy outcome
