【摘要】 目的调查妊娠期糖尿病(gestational diabetes mellitus,GDM)孕妇营养状况并探讨分析早期营养干预对妊娠结局、新生儿体质量的影响。方法选取我院2016年1月-2017年12月收治的120例GDM孕妇为研究对象,采用全自动生化分析仪检测血清总蛋白(total protein,TP)、血清白蛋白(albumin,ALB)和血红蛋白(hemoglobin,Hb)水平,并常规检测血脂情况,以此调查所有GDM孕妇的营养状况;采用随机数字表法将研究对象分为观察组(60例)和对照组(60例),对照组予以常规干预,观察组在对照组的基础上予以营养干预,两组均干预至产后1周,比较两组干预前后的空腹血糖(fasting blood glucose,FBG)及餐后2 h血糖(postprandial 2 h blood glucose,2hPG)、妊娠结局、新生儿结局以及新生儿Apgar评分、新生儿体质量。结果 120例GDM孕妇的TP为(70.22±8.24) g/L,ALB为(37.89±3.46) g/L,Hb为(115.28±10.56) g/L,其中营养不良10例,占8.33%;贫血6例,占5.00%;血脂异常102例,占85.00%;观察组的妊娠结局及新生儿结局均显著优于对照组(P<0.05);观察组的新生儿Apgar评分及体质量显著高于对照组(P<0.05)。结论针对GDM孕妇进行营养状况调查并予以早期营养干预具有一定的必要性,不仅能够控制血糖水平,还能有效改善妊娠结局。更多还原

【Abstract】 Objective To investigate the nutritional status of pregnant women with gestational diabetes mellitus(GDM)and to analyze the effects of early nutrition interventions on pregnancy outcomes and neonatal weight.Methods A total of 120 cases of GDM pregnant women admitted to our hospital between January 2016 and December 2017 were selected for this study. The levels of serum total protein(TP),serum albumin(ALB) and hemoglobin(Hb) were detected with an automatic biochemical analyzer. The nutritional status of all these GDM pregnant women was investigated via routine examination of blood lipids. The above subjects were randomly divided into the observation group(60 cases) and control group(60 cases) using the random number table method. The control group was given routine interventions,while the observation group was additionally subjected to nutritional interventions. Interventions lasted until one week after delivery. The fasting blood glucose(FBC),postprandial 2 h blood glucose(2hPG),pregnancy outcomes,neonatal outcomes,neonatal Apgar score and neonatal weight were compared between the two groups. Results Among the 120 pregnant women with GDM,TP was(70.22±8.24) g/L,ALB was (37.89±3.46) g/L,and Hb was(115.28±10.56) g/L. There were 10 cases of malnutrition that accounted for 8.33%,6 cases of anemia that accounted for 5.00%,and 102 cases of dyslipidemia,accounting for 85.00%. The pregnancy outcomes and neonatal outcomes in the observation group were significantly better than those in the control group(P<0.05). The neonatal Apgar score and neonatal weight in the observation group were significantly higher than those in the control group(P<0.05). Conclusion There is the need to investigate the nutritional status of GDM pregnant women and provide early nutrition interventions in order to control blood glucose levels and effectively improve pregnancy outcomes.更多还原