探讨妊娠期糖尿病个性化营养指导与妊娠结局的关系

发布时间：2018-01-11 19:14

本文关键词：探讨妊娠期糖尿病个性化营养指导与妊娠结局的关系　出处：《中国继续医学教育》2016年35期 　论文类型：期刊论文

【摘要】：目的探讨个性化营养指导对改善妊娠期糖尿病(gestational diabetes mellitus,GDM)孕妇妊娠结局的影响及临床意义。方法选取2014年10月~2015年10月来我院门诊就诊GDM孕妇238例,随机分为两组,观察组与对照组,每组各119例,对照组给予常规健康指导,观察组在对照组的基础上给予个性化营养指导,比较两组孕妇的妊娠结局。结果观察组患者的GHbAlc及FBG的下降幅度高于对照组,妊娠期合并症及并发症的发病率为14.29%,低于对照组41.18%,差异具有统计学意义(P0.05);观察组不良结局发生率为9.24%,低于对照组21.85%,差异具有统计学意义(P0.05)。结论个性化营养指导对于GDM孕妇降低剖宫产率,改善妊娠结局有重要作用。
[Abstract]:Objective to explore the effect of individualized nutrition instruction on gestational diabetes mellitus in gestational diabetes mellitus (GDM). Methods from October 2014 to October 2015, 238 pregnant women with GDM were randomly divided into two groups. Observation group and control group, each group 119 cases, the control group was given routine health guidance, the observation group on the basis of the control group to give personalized nutritional guidance. Results the decrease of GHbAlc and FBG in the observation group was higher than that in the control group. The incidence of complications and complications during pregnancy was 14.29%. It was lower than the control group (41.18), the difference was statistically significant (P 0.05). The incidence of adverse outcome in the observation group was 9.24 which was lower than that in the control group 21.85. The difference was statistically significant (P0.050.Conclusion Personalized nutrition guidance can reduce the rate of cesarean section for GDM pregnant women. Improving the outcome of pregnancy plays an important role.
【作者单位】：吉林省妇幼保健院妇女保健中心;
【基金】：吉林省面向农村和城市社区卫生适宜技术推广项目,项目编号20135030
【分类号】：R714.256
【正文快照】： 有重要作用。妊娠前糖代谢正常,妊娠后发生的不同程度糖类不耐受,且会对孕妇和胎儿产生严重影响的疾病称为妊娠期糖尿病(gestationaldiabetes mellitus,GDM)[1]。受到诊断方法、评价标准等无法统一的影响,妊娠期糖尿病的发病率为1%~14%,是妇产科中比较常见的并发症之一[2-3]。

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