围产营养门诊干预对妊娠期糖尿病妊娠结局的影响

目的探讨同产营养门诊干预对妊娠期糖尿病（GDM）妊娠结局的影响。方法抽取2012年3月至2013年9月在我院住院分娩且产检期间确诊为GDM的440例孕妇作为本次研究对象，根据孕妇有无就诊营养门诊分成干预组（200例）与对照组（240例）。结果干预组孕妇血糖A级水平比对照组显著降低（P〈0．01）；干预组剖宫产67例（33．5％），对照组121例（50．4％），χ^2=12．757，P〈0．01；干预组出现巨大儿5例（2．5％），对照组17例（7．1％），χ^2=4．825，P〈0．05；干预组发生新生儿出生低血糖6例（3．0％），对照组19例（7．9％），χ^2=4．921，P〈0．05，两组间比较差异均具有统计学意义。结论围产营养门诊通过指导GDM孕妇饮食，能够有效控制血糖，改善CDM孕妇妊娠及围产儿的结局。

Analysis of perinatal nutrition clinic intervention on pregnancy outcomes of patients with gestational diabetes mellitus

Objective To explore the efficacy of perinatal nutrition clinic intervention on pregnancy outcomes of patients with gestational diabetes mellitus （GDM）. Methods 440 pregnant women who had been diagnosed with gestation diabetes mellitus （GDM） in prenatal examinations received the medical service in our hospital from March 2012 to September 2013. They were divided into two groups according to nutrition clinic histoi7, 200 cases in intervention group and 240 cases in control group. Results The blood glucose level A of intervention group was significantly lower than that of control group （P 〈 0.01）. There were 67 cases of cesarean section in intervention gronp （33.5%）, 121 cases in control group （50.4%）, with significant difference （X 2 = 12.757, P 〈 0.01）. The incidence of macrosomia in intervention group was 2.5% （5/200）, while that in control group was 7.1% （17/240）, with significant difference （X 2 = 4.852, P 〈 0.05）. The incidence of neonatal hypoglycemia in intervention group was 3.0% （6/200）, while that in control group was 7.9% （19/240）, with significant difference （X 2 = 4.921, P 〈 0.05）. Conclusion Scientific dietary guidance for GDM pregnant women provided by perinatal nutrition clinic can effectively control their blood glucose and improve perinatal outcomes of GDM mothers and their infants.