营养干预对妊娠期糖尿病高危孕妇生活质量的影响

发布时间：2018-09-09 13:24

【摘要】：目的探讨营养干预对妊娠期糖尿病(GDM)高危孕妇的发病及生活质量的影响。方法将89例妊娠早期年龄30岁、一级家属有糖尿病史、孕前超重或肥胖、谷类每日600g及水果每日500g的GDM高危因素的孕妇,按自愿原则分为干预组(43例)和对照组(46例)。对照组进行常规产前检查、健康教育及孕期监测,干预组在此基础上从孕早期开始进行个体化营养干预;比较两组GDM发病和健康调查简表评分情况。结果至妊娠结束,对照组发生GDM 17例(36.96%,17/46),干预组发生GDM 3例(6.98%,3/43),两组比较,差异有统计学意义(P0.05)。干预组健康调查简表中,生理功能、躯体疼痛、社交功能和情感职能评分分别是(78.37±14.95)分、(96.07±13.81)分、(100.87±14.01)分和(76.74±32.15)分,与对照组比较,差异有统计学意义(P0.05)。结论营养干预可能对改善GDM高危孕妇的生活质量起到一定的作用。
[Abstract]:Objective to investigate the effect of nutritional intervention on the morbidity and quality of life of high risk pregnant women with gestational diabetes mellitus (GDM). Methods Eighty-nine pregnant women who were 30 years old in early pregnancy, had history of diabetes before pregnancy, were overweight or obese before pregnancy, 600 g per day of cereals and 500 g of fruit per day were divided into intervention group (43 cases) and control group (46 cases) according to voluntary principle. The control group was given routine prenatal examination, health education and pregnancy monitoring, and the intervention group was given individualized nutritional intervention from the early pregnancy stage, and the scores of GDM incidence and health survey summary table were compared between the two groups. Results at the end of pregnancy, 17 cases (36.96 / 46) of GDM occurred in the control group and 3 cases (6.98% / 43) in the intervention group. The difference between the two groups was statistically significant (P0.05). The scores of physiological function, physical pain, social function and affective function were (78.37 卤14.95), (96.07 卤13.81), (100.87 卤14.01) and (76.74 卤32.15) in the health survey summary table of the intervention group, respectively. The difference was statistically significant compared with the control group (P0.05). Conclusion nutritional intervention may play an important role in improving the quality of life of high-risk pregnant women with GDM.
【作者单位】：江苏省镇江市妇幼保健院;
【基金】：镇江市市级专项课题(SH2011064)
【分类号】：R714.256

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