个体化饮食干预对妊娠期糖尿病(GDM)孕产妇围生期结局的影响

目的:探讨个体化饮食干预对妊娠期糖尿病(GDM)孕产妇围生期结局的影响。方法:选择在该院进行围产检查并分娩GDM孕产妇156例,随机分为个体化饮食组和常规饮食组,每组78例,个体化饮食组予个体化饮食控制,常规饮食组予常规饮食指导,观察两组孕产妇和围生儿并发症发生情况。结果:个体化饮食组孕产妇中羊水过多、胎膜早破、早产、酮症、胎儿窘迫的发生率低于常规饮食组,差异有统计学意义(P<0.05)。围生儿中巨大儿、新生窒息、呼吸窘迫综合征(RDS)、低血糖、胎儿生长受限(FDR)发生率明显低于常规饮食组,差异有统计学意义(P<0.05)。结论:个体化饮食治疗能有效减轻GDM患者母儿并发症,达到良好的妊娠结局。

Effect of individualized dietary intervention on perinatal outcome of pregnant women with gestational diabetes mellitus

Objective:To explore the effect of individualized dietary intervention on perinatal outcome of pregnant women with gestational diabetes mellitus(GDM).Methods:A total of 156 pregnant women with GDM who received perinatal examination and deliveried in the hospital were selected,then they were divided into individualized diet group and routine diet group randomly,78 women in each group.The women in individualized diet group were treated with individualized dietary control,while the women in routine diet group were treated with routine dietary guidance,the complications of pregnant women and perinatal infants in the two groups were observed.Results:The incidences of polyhydramnios,premature rupture of membrane,premature delivery,ketosis,and fetal distress in individualized diet group were significantly lower than those in routine diet group(P<0.05).The incidences of macrosomia,neonatal asphyxia,respiratory distress syndrome(RDS),hypoglycemia,fetal growth restriction(FDR) in individualized diet group were significantly lower than those in routine diet group(P<0.05).Conclusion:Individualized dietary therapy can relieve the maternal and infantile complications among the patients with GDM,and it can achieve good pregnancy outcome.