【摘要】 目的 探讨人体成分分析仪营养指导对妊娠期糖尿病（GDM）患者妊娠结局的影响。方法 选择于本院产科门诊产检并确诊为GDM的孕妇200例，随机分为观察组及对照组，每组100例。给予对照组营养及运动指导，在此基础上，给予观察组人体成分分析仪营养指导。比较两组的血糖、体成分、妊娠和新生儿结局。结果 干预1周后，观察组空腹血糖（FBG）、餐后2 h血糖（2 h PG）均低于对照组，差异有统计学意义（P<0.05）；干预2周后，两组FBG、2 h PG均降低，且观察组各指标水平均明显低于对照组，差异有统计学意义（P<0.05）。干预2周后，观察组体脂百分比、细胞内液水平分别为（31.24±2.97）%、（18.49±2.13）kg，均高于对照组的（26.81±1.30）%、（16.78±1.91）kg，差异有统计学意义（P<0.05）。观察组妊娠期高血压疾病发生率、剖宫产率及产后2 h出血、羊水过多发生率均明显低于对照组，差异有统计学意义（P<0.05）；观察组新生儿巨大儿、低体重儿、新生儿低血糖、早产率均低于对照组，差异有统计学意义（P<0.05）。结论 将人体成分分析仪营养指导应用于GDM患者中，可控制其血糖水平，降低妊娠期并发症发生率，改善妊娠和新生儿结局。更多还原

【Abstract】 Objective To investigate the effect of nutritional guidance by human body composition analyzer on the pregnancy outcome in patients with gestational diabetes mellitus(GDM). Methods A total of 200 pregnant women diagnosed with GDM in the obstetrics clinic of our hospita were randomly divided into an observation group and a control group, with 100 cases in each group.The control group was given nutrition and exercise guidance. On this basis, the observation group was given nutrition guidance by human body composition analyzer. The blood glucose, body composition, pregnancy and neonatal outcomes were compared between the two groups. Results After 1 week of intervention, the fasting blood glucose(FBG) and 2 h postprandial blood glucose(2 h PG) in the observation group were lower than those in the control group, and the differences were statistically significant(P<0.05); after 2 weeks of intervention, the FBG and 2 h PG in the two groups were decreased, and the levels of all indexes in the observation group were significantly lower than those in the control group, and the differences were statistically significant(P<0.05). After 2 weeks of intervention, the body fat percentage and intracellular fluid level in the observation group were(31.24±2.97) % and(18.49±2.13) kg, respectively, which were higher than(26.81±1.30) % and(16.78±1.91) kg in the control group, and the differences were statistically significant(P<0.05). The incidence of gestational hypertension, cesarean section, postpartum hemorrhage and polyhydramnios in the observation group were significantly lower than those in the control group, and the differences were statistically significant(P<0.05);the rates of macrosomia, low birth weight, hypoglycemia and preterm birth in the observation group were lower than those in the control group, and the differences were statistically significant(P<0.05). Conclusion The application of human body composition analyzer nutrition guidance in patients with GDM can control blood glucose level, reduce the incidence of pregnancy complications,and improve pregnancy and neonatal outcomes.更多还原