饮食干预对妊娠期糖耐量异常的效果研究  

Study on the effect of dietary intervention for gestational impaired glucose tolerance

作　　者：宋婷婷[1] 刘兰玉[1] 陈倩倩[1] 

机构地区：[1]山东省潍坊市妇幼保健院产一科,山东潍坊261011

出　　处：《中国医药科学》2014年第3期182-184,共3页China Medicine And Pharmacy

摘　　要：目的探讨饮食干预对妊娠期糖耐量异常的临床治疗效果。方法选择妊娠期糖耐量异常产妇100例,分为两组,各50例,观察组采用饮食干预措施,对照组则进行持续病情观察,待确诊妊娠期糖尿病后再行处理,比较两组产妇血糖控制情况及妊娠结局。结果观察组干预后空腹血糖和餐后2h血糖均显著低于对照组(P<0.05),观察组发生巨大儿、产后出血、胎儿生长受限及新生儿低血糖的比例均低于对照组(P<0.05)。结论有效的饮食干预是控制妊娠交界性糖耐量异常孕妇血糖的有效手段,其能减少并发症发生,改善妊娠结局。Objective To investigate the clinical therapeutic effect of dietary intervention for gestational impaired glucose tolerance. Methods 100 lying-in women with gestational impaired glucose tolerance were divided into the two groups,each group had 50 cases. The patients in the observation group were used the dietary intervention method,while the patients in the control group were observed the ongoing disease and given the treatment after the diagnosis of gestational diabetes, and the blood glucose control and pregnancy outcome of lying-in women in the two groups were compared. Results The fasting and 2h postprandial blood glucose in the observation group after the intervention were significantly lower than those in the control group（P 〈 0.05）,the proportions of macrosomia,postpartum hemorrhage,fetal growth restriction and neonatal hypoglycemia in the observation group were lower than those in the control group（P〈0.05）. Conclusion Effective dietary intervention is an effective means to control the blood glucose of lying-in women with pregnancy borderline impaired glucose tolerance, which can reduce the complications and improve the pregnancy outcome.

关 键 词：饮食干预 妊娠期糖耐量异常 

分 类 号：R714[医药卫生—妇产科学]