饮食疗法对糖耐量减低孕妇的新生儿出生体重的影响  

Influence of dietary an therapy on the neonatal birthweight in pregnant women with decreased glucose tolerance

作　　者：江明礼[1] 邱晓燕[1] 吴梅珍[1] 

机构地区：[1]上海市第一人民医院妇产科,200080

出　　处：《上海医学》2000年第2期99-101,共3页Shanghai Medical Journal

摘　　要：目的　评价饮食疗法对妊娠期糖耐量减低（ＧＩＧＴ） 孕妇的新生儿出生体重的影响。方法　对２２５５例单胎、足月、无严重内科合并症的初产妇进行５０ｇ 葡萄糖应激试验（５０ｇＧＣＴ），阳性者进一步作口服７５ｇ 葡萄糖耐量试验（７５ｇＧＴＴ） 。对妊娠期糖尿病（ＧＤＭ） 和妊娠期ＧＩＧＴ 孕妇施行饮食疗法，将其新生儿出生体重与正常对照组比较。结果　ＧＤＭ 和ＧＩＧＴ 孕妇经饮食疗法，新生儿出生体重与正常对照组差异无显著性。饮食疗法时，早餐后２ 小时血糖水平对新生儿出生体重有明显影响。结论　对ＧＤＭ 和ＧＩＧＴ 孕妇施行饮食疗法可使新生儿出生体重控制在适当范围。Objective To evaluate the effect of dietary therapy on the neonatal birthweight in pregnant women with GDM and GIGT. Methods Glucose challenge test (50g) was done routinely in 2255 primipara who had no serious medical complication and oral glucose tolerance test (75g) penformed in the those with positive results. Dietary therapy was carried out in those with GDM or GIGT. The birthweight of neonates in the studied group and control group were compared. Results There was no significant difference between the birthweights in pregnant women with GDM or GIGT whether they had dietary therapy or not. The birthweight was influenced by the plasma glucose level 2 hours postprandial. Conclusion The neonatal birthweight of pregnant women with GDM or GIGT can be well controlled within reasonable range with dietary therapy (Shanghai Med J, 2000,23:99-101).

关 键 词：饮食疗法 妊娠期 糖尿病 出生体重 新生儿 

分 类 号：R459.3[医药卫生—治疗学]