【摘要】 目的:了解糖代谢异常孕妇孕中期的营养状况,为有针对性地指导其合理营养,保证母婴健康提供依据。方法:回顾分析63例糖代谢异常的单胎孕妇孕中期的营养状况,并采用24 h回顾法膳食调查,分析其膳食中能量和营养素的摄入情况。结果:糖代谢异常的孕妇孕中期血浆总蛋白为(63.88±4.21)g/L,ALB为(34.66±3.69)g/L,Hb为(117.10±11.56)g/L。蛋白质营养不良(ALB<35 g/L)的发生率高达47.62%(30/63),贫血(Hb<100g/L)发生率为6.35%(4/63)。其孕中期每天膳食中的能量、蛋白质、脂肪和糖类的摄入量,分别为(8 926.52±1 847.86)kJ、(87.29±23.58)g、(69.13±16.19)g、(290.55±75.07)g。与按其身高、孕前体质量、体力活动和孕周而计算的参考摄入量比较,差异有显著性意义(P<0.05,P<0.001)。其中每天能量摄入>9 205 kJ,占41.27%(26/63),蛋白质产热比>20%,占7.94%(5/63),脂肪产热比>30%,占36.51%(23/63),糖类产热比>50%,占79.36%(50/63)。结论:孕中期糖代谢异常的孕妇蛋白质营养不良的发生率高,膳食中能量摄入偏高,蛋白质摄入偏低,三大营养素产热比不合理,应给予及时纠正。更多还原

【Abstract】 Objective:To observe nutritional status in the pregnancy metaphase with abnormal glucose metabolism. Methods: To review nutritional status in total 63 cases of single pregnancy metaphase women with GDM or GIG,dietary 24 h review method were used.The energy and major nutrients intake were analysed.Results: Total protein was(63.88±4.21)g/L,ALB was(34.66±3.69)g/L and Hb was(117.10±11.56)g/L in the pregnancy metaphase with abnormal glucose metabolism.The incidence of protein-malnutrition was 47.62%(30/63),and the incidence of anemia was 6.35%(4/63).The total intake of energy,protein,fat,and carbohydrate per day were(8 926.52±1 847.86)kJ,(87.29±23.58)g,(69.13±16.19)g,(290.55±75.07)g respectively.Conclusion: The incidence rate of protein-malnutrition was higher in the pregnancy metaphase with abnormal glucose metabolism.The energy intake was bigger and the protein intake was lower.The percentage of energy from protein,fat and carbohydrate were unreasonable.更多还原