中国计划生育和妇产科
中國計劃生育和婦產科
중국계화생육화부산과
CHINESE JOURNAL OF FAMILY PLANNING & GYNECOTOKOLOGY
2015年
1期
41-43
,共3页
妊娠期糖尿病%个性化营养干预
妊娠期糖尿病%箇性化營養榦預
임신기당뇨병%개성화영양간예
gestational diabetes mellitus%personalized nutrition intervention
目的：探讨个性化营养干预对妊娠期糖尿病的疗效。方法选取2012年在兰州军区乌鲁木齐总医院门诊治疗的73例妊娠期糖尿病（ gestational diabetes mellitus GDM ）患者为研究对象。自愿接受个性化营养治疗的38例患者为干预组，只接受常规营养指导不愿接受个性化营养管理的35例患者为对照组，分析两组孕妇血糖水平变化及妊娠结局。结果个性化营养治疗前，两组空腹血糖及餐后血糖比较差异无统计学意义（P＞0.05）；干预组患者治疗10周后，空腹及餐后2 h血糖均较对照组下降明显（P＜0.05）；干预组患者妊娠期高血压疾病、羊水过多、剖宫产、巨大儿、低体重儿、新生儿低血糖等母婴并发症发生率明显低于对照组（P＜0.05）。结论个性化营养治疗能有效控制孕期血糖，防止母婴并发症的发生，促进母婴健康。
目的：探討箇性化營養榦預對妊娠期糖尿病的療效。方法選取2012年在蘭州軍區烏魯木齊總醫院門診治療的73例妊娠期糖尿病（ gestational diabetes mellitus GDM ）患者為研究對象。自願接受箇性化營養治療的38例患者為榦預組，隻接受常規營養指導不願接受箇性化營養管理的35例患者為對照組，分析兩組孕婦血糖水平變化及妊娠結跼。結果箇性化營養治療前，兩組空腹血糖及餐後血糖比較差異無統計學意義（P＞0.05）；榦預組患者治療10週後，空腹及餐後2 h血糖均較對照組下降明顯（P＜0.05）；榦預組患者妊娠期高血壓疾病、羊水過多、剖宮產、巨大兒、低體重兒、新生兒低血糖等母嬰併髮癥髮生率明顯低于對照組（P＜0.05）。結論箇性化營養治療能有效控製孕期血糖，防止母嬰併髮癥的髮生，促進母嬰健康。
목적：탐토개성화영양간예대임신기당뇨병적료효。방법선취2012년재란주군구오로목제총의원문진치료적73례임신기당뇨병（ gestational diabetes mellitus GDM ）환자위연구대상。자원접수개성화영양치료적38례환자위간예조，지접수상규영양지도불원접수개성화영양관리적35례환자위대조조，분석량조잉부혈당수평변화급임신결국。결과개성화영양치료전，량조공복혈당급찬후혈당비교차이무통계학의의（P＞0.05）；간예조환자치료10주후，공복급찬후2 h혈당균교대조조하강명현（P＜0.05）；간예조환자임신기고혈압질병、양수과다、부궁산、거대인、저체중인、신생인저혈당등모영병발증발생솔명현저우대조조（P＜0.05）。결론개성화영양치료능유효공제잉기혈당，방지모영병발증적발생，촉진모영건강。
Objective To investigate the effect of individual clinic nutrition intervention on gestational diabetes mellitus ( GDM) . Methods 73 GDM cases were chosen in Urumqi General Hospital, Lanzhou Military Area Command, PLA as study objects in 2012. Among these cases , 38 cases voluntarily accepted personalized nutrition treatment as intervention group;35 cases only took oral advice of nutrition rather than personalized nutritional management as control group .To analyze the blood glucose change and pregnancy outcomes of pregnant women of two groups .Results Before personalized nutrition intervention , comparing with the fasting and postprandial blood glucose , the differences had not statistical significance between two groups (P>0.05).After ten weeks, there was an obvious decline in blood glucose of fasting and postprandial 2 h nutrition intervention in intervention group and the difference had statistical significance ( P <0.05 ) .The incidence of maternal and neonatal complications such as gestational hypertension , polyhydramnios , cesarean section , macrosomia , low-birth weight infants or neonatal hypoglycemia in intervention group were lower than control group , and the differences had statistical significance ( P <0.05 ) .Conclusion Personalized nutrition treatment can effectively control blood glucose during pregnancy , prevent the incidence of complications and promote maternal and child health .
