即时性图像法联合食物交换份法对妊娠期糖尿病孕妇妊娠结局的影响  

Effect of instant photography combined with food exchange portion on maternal and neonatal outcomes in women with gestational diabetes mellitus

作　　者：李季芳[1] 郑晓东 符乃尹 黎艺[1] LI Ji-fang;ZHENG Xiao-dong;FU Nai-yin;LI Yi(Department of Clinical Nutrition,Hainan General Hospital,Haikou 570311,Hainan,CHINA)

机构地区：[1]海南省人民医院营养科,海南海口570311

出　　处：《海南医学》2022年第16期2106-2108,共3页Hainan Medical Journal

基　　金：2020度海南省卫生健康行业科研项目(编号:20A200074)。

摘　　要：目的探讨即时性图像法联合食物交换份法对妊娠期糖尿病孕妇妊娠结局的影响。方法选取2018年7月至2020年7月在海南省人民医院孕检并分娩的203例孕24~28周时诊断为妊娠期糖尿病的孕妇为研究对象。自孕24~28周开始根据是否愿意接受营养科门诊营养干预进行分组,其中干预组92例,对照组111例。干预组采用即时性图像法调查孕期膳食状况并计算食物摄入量,食品交换份法进行饮食指导直至分娩,对照组进行普通膳食。比较两组孕妇孕中期(孕24~28周)及孕晚期(分娩前)时的生化指标及妊娠结局。结果干预组孕妇的新生儿身长为(49.28±2.01)cm,明显高于对照组的(48.58±2.58)cm,新生儿体质量为(3.27±0.51)kg,明显重于对照组的(3.10±0.55)kg,差异均有统计学意义(P<0.05);干预组孕妇的新生儿Apgar评分为10分者占86.8%,明显高于对照组的71.2%,差异有统计学意义(P<0.05);干预组孕妇的早产率为4.3%,明显低于对照组的17.1%,差异有统计学意义(P<0.05);两组孕妇在孕中期和孕晚期的前白蛋白、血红蛋白、白蛋白和总蛋白比较差异均无统计学意义(P>0.05)。结论即时性图像法联合食物交换份法能改善妊娠期糖尿病孕妇的妊娠结局。Objective To investigate the effect of instant photography combined with food exchange portion on maternal and neonatal outcomes in women with gestational diabetes mellitus(GDM).Methods A total of 203 women with GDM at 24~28 weeks of gestation in Hainan General Hospital from July 2018 to July 2020 were selected.From 24 to 28 weeks of gestation,the patients were divided into intervention group(n=92)and control group(n=111)according to whether they were willing to receive nutrition intervention in the Outpatient Department of Nutrition.In the intervention group,instant photography was applied to investigate the dietary status during pregnancy and calculate the food intake,and food exchange portion was used to guide the diet until delivery.In the control group,traditional nutrition guidance were applied.The biochemical indexes and pregnancy outcomes in the second trimester(24 to 28 weeks of pregnancy)and the third trimester(before delivery)of pregnancy were compared between the two groups.Results The length of newborns in the intervention group was(49.28±2.01)cm,which was significantly higher than(48.58±2.58)cm in the control group,and the body weight of newborns was(3.27±0.51)kg,which was significantly heavier than(3.10±0.55)kg in the control group,with statistically significant differences(P<0.05).The percentage of women with Apgar score=10 was 86.8%in the intervention group,significantly higher than 71.2%in the control group(P<0.05).The incidence of preterm labor was 4.3%in the intervention group,significantly lower than 17.1%in the control group(P<0.05).There was no significant difference in serum total protein(TP),albumin(ALB),prealbumin(PA),hemoglobin(HB)between the two groups(P>0.05).Conclusion Instant photography combined with food exchange portion can improve maternal and neonatal outcomes in women with GDM.

关 键 词：妊娠期糖尿病 食物交换份法 妊娠结局 即时性图像法 膳食调查 

分 类 号：R714.256[医药卫生—妇产科学]