Abstract：【Objective】Analysis of the effect of gestational nutrition on maternal and neonatal outcomes of gestational diabetes mellitus(GDM). 【Methods】 Ninety-three cases of gestational diabetes mellitus in our hospital(January 2014 to October 2015) were selected, they were randomly divided into intervention group (Comprehensive intervention: nutrition guidance, aerobic exercise, appropriate physical exercise)and control group(Regular diet control), the research object of FBG, P2hBG, HbA1c before and after intervention were compared between the two groups. The difference of incidence of adverse pregnancy outcome and perinatal outcome were compared between the two groups. 【Results】After the intervention, intervention group of FBG, P2hBG, HbA1c were lower than the control group, and the difference had statistical significance (P<0.05). The incidence of amniotic fluid pollution in the intervention group (12 cases, 25%) was lower than that of the control group (26 cases, 57.78%), the incidence of pregnancy induced hypertension (8 cases, 16.67%) was lower than that of the control group (17 cases, 37.78%), the incidence of splits the palace production(17 cases,35.42%) was lower than that of the control group (28 cases, 62.22%), and the difference is statistically significant (P<0.05); The incidence of low birth weight infants in the intervention group (5 cases, 10.42%) was lower than that in the control group (13 cases, 28.89%), The incidence of small for gestational age infant (6 cases, 12.50%) was lower than that of the control group (15 cases, 33.33%), the incidence of neonatal hypoglycemia (2 cases, 4.17%) was lower than that of the control group (10 cases, 22.22%), the incidence of neonatal asphyxia (4 cases, 8.33%) was lower than that of the control group (11 cases, 24.44%), the incidence of the pediatric treatment (7 cases, 14.58%) was lower than that of the control group (16 cases,35.56%), and the difference is statistically significant (P<0.05). 【Conclusion】Gestational nutrition comprehensive nursing intervention can effectively reduce the incidence of GDM, adverse pregnancy outcomes and the adverse perinatal outcomes.
季华,姜伟. 妊娠期营养对妊娠期糖尿病母婴结局的影响[J]. 医学临床研究, 2017, 34(6): 1124-1127.
JI Hua, JIANG Wei. Analysis of the effect of Gestational Nutrition on Maternal and Neonatal Outcomes of GDM. JOURNAL OF CLINICAL RESEARCH, 2017, 34(6): 1124-1127.
[1] 戴福仁,赵新新.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[J].中国妇幼保健,2012,22(08):1152-1153. [2] 盖筱莉,焦瑞霞. 基于血糖负荷概念的食物交换份法用于妊娠期糖尿病饮食干预的研究[J].中国妇幼保健,2012,23(07):993-994. [3] 盖筱莉,王建敏,王秀梅. 妊娠期糖尿病围生期个体化饮食干预效果研究[J].山东医药,2011,33(28):82-84. [4] 黄海燕,徐旭娟,张晓义,等. 认知负荷理论在妊娠期糖尿病患者饮食教育中的应用[J].中国妇幼保健,2013,34(36):5936-5938. [5] 邢惠卿,蔡婉静,卢敏,等. 运动疗法与中医饮食干预对妊娠期糖尿病患者的妊娠结局影响[J].中国临床药理学杂志,2015,22(17):1713-1715. [6] 袁玲,应豪,王德芬. 膳食多不饱和脂肪酸改善妊娠期糖尿病SD大鼠胰岛素抵抗的研究[J].实用妇产科杂志,2013,24(04):308-311. [7] 王爽,杨慧霞. 生活方式干预与妊娠期糖尿病的预防[J].中国实用妇科与产科杂志,2014,44(08):599-601. [8] 王璇,陈廷美,于德纯,等. IADPSG标准下妊娠期糖尿病发病率及危险因素调查[J].实用医学杂志,2014,45(08):1318-1320. [9] Corrado F, Pintaudi B, D'Anna R,et al. Perinatal outcome in a Caucasian population with gestational diabetes and preexisting diabetes first diagnosed in pregnancy[J].Diabetes Metab,2015,22(05):112-116. [10] Tian Z H, Miao F T, Zhang X, et al. Therapeutic effect of okra extract on gestational diabetes mellitus rats induced by streptozotocin[J].Asian Pac J Trop Med,2015,8(12):1038-1042. [11] Guo J, Chen J L, Whittemore R, et al. Postpartum Lifestyle Interventions to Prevent Type 2 Diabetes Among Women with History of Gestational Diabetes: A Systematic Review of Randomized Clinical Trials[J].J Womens Health (Larchmt),2015,23(06):102-105. [12] Ozgu-Erdinc A S, Iskender C, Uygur D, et al. One-hour versus two-hour postprandial blood glucose measurement in women with gestational diabetes mellitus: which is more predictive[J].Endocrine,2015,33(08):134-136. (本文编辑:詹道友) [收稿日期] 2017-05-31
2017, Vol. 34 
