CAJ | 학술논문

目的探讨围产营养门诊干预对妊娠期糖尿病(GDM)妊娠结局的影响.方法抽取2012年3月至2013年9月在我院住院分娩且产检期间确诊为GDM的440例孕妇作为本次研究对象,根据孕妇有无就诊营养门诊分成干预组(200例)与对照组(240例).结果干预组孕妇血糖A级水平比对照组显著降低(JP＜0.01);干预组剖宫产67例(33.5％),对照组121例(50.4％),x2=12.757,P＜0.01;干预组出现巨大儿5例(2.5％),对照组17例(7.1％),x2=4.825,P＜0.05;干预组发生新生儿出生低血糖6例(3.0％),对照组19例(7.9％),x2=4.921,P＜0.05,两组间比较差异均具有统计学意义.结论围产营养门诊通过指导GDM孕妇饮食,能够有效控制血糖,改善GDM孕妇妊娠及围产儿的结局.
목적 탐토위산영양문진간예대임신기당뇨병(GDM)임신결국적영향.방법 추취2012년3월지2013년9월재아원주원분면차산검기간학진위GDM적440례잉부작위본차연구대상,근거잉부유무취진영양문진분성간예조(200례)여대조조(240례).결과 간예조잉부혈당A급수평비대조조현저강저(JP＜0.01);간예조부궁산67례(33.5％),대조조121례(50.4％),x2=12.757,P＜0.01;간예조출현거대인5례(2.5％),대조조17례(7.1％),x2=4.825,P＜0.05;간예조발생신생인출생저혈당6례(3.0％),대조조19례(7.9％),x2=4.921,P＜0.05,량조간비교차이균구유통계학의의.결론 위산영양문진통과지도GDM잉부음식,능구유효공제혈당,개선GDM잉부임신급위산인적결국.
Objective To explore the efficacy of perinatal nutrition clinic intervention on pregnancy outcomes of patients with gestational diabetes mellitus (GDM).Methods 440 pregnant women who had been diagnosed with gestation diabetes mellitus (GDM) in prenatal examinations received the medical service in our hospital from March 2012 to September 2013.They were divided into two groups according to nutrition clinic history,200 cases in intervention group and 240 cases in control group.Results The blood glucose level A of intervention group was significantly lower than that of control group (P ＜ 0.01).There were 67 cases of cesarean section in intervention group (33.5％),121 cases in control group (50.4％),with significant difference (x2 =12.757,P ＜ 0.01).The incidence of macrosomia in intervention group was 2.5％ (5/200),while that in control group was 7.1％ (17/240),with significant difference (x2 =4.852,P ＜ 0.05).The incidence of neonatal hypoglycemia in intervention group was 3.0％ (6/200),while that in control group was 7.9％ (19/240),with significant difference (x2 =4.921,P ＜ 0.05).Conclusion Scientific dietary guidance for GDM pregnant women provided by perinatal nutrition clinic can effectively control their blood glucose and improve perinatal outcomes of GDM mothers and their infants.