摘要
【目的】探讨妊娠期营养对妊娠期糖尿病（GDM）母婴结局的影响。【方法】选取在本院2014年1月至2015年10月产检确诊为GDM患者93例，将其随机分为干预组（综合干预：营养指导、有氧运动、适当体育锻炼）和对照组（常规饮食控制），比较两组患者干预前后的空腹血糖（FBG），餐后两小时血糖（2hBG），糖化血红蛋白（HbAlc）的差异及妊娠结局和围产儿不良结局发生率。【结果】在于预后，干预组的FBG、2hBG和HbAlC均低于对照组，差异均具有统计学意义（P〈0．05）。干预组羊水污染的发生率（12例，25．0％）低于对照组（26例，57．78％），妊娠高血压的发生率（8例，16．67％）低于对照组（17例，37．78％），剖宫产的发生率（17例，35．42％）低于对照组（28例，62．22％），且差异均具有统计学意义（P〈0．05）；干预组低出生体重儿的发生率（5例，10．42％）低于对照组（13例，28．89％），小于胎龄儿的发生率（6例，12．50％）低于对照组（15例，33．33％），新生儿低血糖的发生率（2例，4．17％）低于对照组（10例，22．22％），新生儿窒息的发生率（4例，8．33％）低于对照组（11例，24．44％），转儿科治疗的发生率（7例，14．58％）低于对照组（16例，35．56％），且差异均具有统计学意义（P〈0．05）。【结论】妊娠期营养综合护理干预能有效的降低妊娠期糖尿病、妊娠不良结局和围产儿不良结局的发生率。
[ObjectivelAnalysis of the effect of gestational nutrition on maternal and neonatal outcomes of gestational diabetes mellitus（GDM）. [Methods] Ninety three cases of gestational diabetes mellitus in our hos- pital（January 2014 to October 2015） were selected, they were randomly divided into intervention group （Com- prehensive intervention： nutrition guidance, aerobic exercise, appropriate physical exercise）and control group （Regular diet control）, the research object of FBG, P2hBG, HbAlc before and after intervention were com- pared between the two groups. The difference of incidence of adverse pregnancy outcome and perinatal outcome were compared between the two groups. [Res ultslAfter the intervention, intervention group of FBG, P2hBG, HbAlc were lower than the control group, and the difference had statistical significance （ P 〈0.05）. The inci- dence of amniotic fluid pollution in the intervention group （12 cases, 25 %） was lower than that of the control group （26 cases, 57.78%）, the incidence of pregnancy induced hypertension （8 cases, 16.67%） was lower than that of the control group （17 cases, 37.78%）, the incidence of splits the palace production（17 cases, 35.42%） was lower than that of the control group （28 cases, 62.22%）, and the difference is statistically sig- nificant （ P 〈0.05） ; The incidence of low birth weight infants in the intervention group （5 cases, 10.42%） was lower than that in the control group （13 cases, 28.89 % ）, The incidence of small for gestational age infant （6 cases, 12.50%） was lower than that of the control group （15 cases, 33.33%）, the incidence of neonatal hy- poglycemia （2 cases, 4.17%） was lower than that of the control group （10 cases, 22.22%）, the incidence of neonatal asphyxia （4 cases, 8.33%） was lower than that of the control group （11 cases, 24.44%）, the inci- dence of the pediatric treatment （7 cases, 14.58%） was lower than that of the control group （16 cases, 35.56% ）, and the diff
出处
《医学临床研究》
CAS
2017年第6期1124-1127,共4页
Journal of Clinical Research
关键词
糖尿病
妊娠
营养状况
妊娠结局
干预性研究
Diabetes, Gestational
Nutritional Status
Pregnancy Outcome
Intervention Studies
