妊娠期糖代谢异常营养门诊饮食指导效果观察  

Observation on Diet Therapy by Nutritional Clinic in Cases with Gestational Abnormal Metabolism of Glucose

作　　者：葛茜 

机构地区：[1]深圳市人民医院暨南大学第二临床医学院,广东深圳518020

出　　处：《实用预防医学》2009年第4期1174-1176,共3页Practical Preventive Medicine

基　　金：深圳市科技计划项目(200405019)

摘　　要：目的探讨营养门诊饮食指导对妊娠期糖代谢异常治疗的作用。方法85例妊娠期糖代谢异常患者在营养门诊接受个体化饮食指导,观察饮食治疗后血糖指标和妊娠结局。结果饮食治疗一周后,餐后2h血糖降低,差异有统计学意义(t=13.685,P<0.01);至分娩前,单纯饮食治疗73例(86%)、饮食治疗+胰岛素治疗12例(14%),餐后2h血糖、糖化血红蛋白均降低,差异有统计学意义(t=16.871、10.314,P<0.01),无酮症、妊娠期高血压征、胎儿宫内窘迫、早产、巨大儿发生。结论营养门诊的个体化饮食指导对妊娠期糖代谢异常治疗有一定作用。Objective To study the effect of diet therapy by nutritional clinic on cases with gestational abnormal metabolism of glucose. Methods Eighty- five cases with gestational abnormal metabolism of glucose were treated by dietitians in nutritional clinic, the levels of blood glucose and the pregnancy outcomes were observed. Results After 1 week diet therapy, the pregnant women＇s 2h PBG decreased significantly, and the difference was statistically significant （t = 13.68.5, P〈 0.01）. Until delivery, 73 cases were treated by diet therapy only （86 % ）, 12 cases were treated by diet and in- sulin therapy （14 % ）, 2h PBG and HbA1C decreased significantly, and the difference was statistically significant （t = 16. 871, t = 10. 314, P〈0.01）. No ketonuria, pregnancy induced hypertension, fetal distress, premature delivery and fetal macrosomia were found. Conclusions The diet therapy by nutritional clinic plays an effective role in cases with gestational abnormal metabolism of glucose.

关 键 词：妊娠期塘代谢异常 营养门诊 饮食治疗 

分 类 号：R715.3[医药卫生—妇产科学]