妊娠早期医学营养干预在血糖高危孕妇中的应用效果

Abstract
Figure/Table
References (16)
Related Citation (15)

Download: PDF (0 KB) HTML (35 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To explore the application effect of medical nutrition intervention in early pregnancy on pregnant women with high blood glucose risk.Methods From October 2016 to October 2017,80 pregnant women with high blood glucose risk admitted to our hospital were selected as the research objects for retrospective analysis.They were divided into study group and control group according to different intervention methods,with 40 cases in each group.Pregnant women in the control group received routine intervention,while pregnant women in the study group received medical nutrition intervention in early pregnancy.The glycosylated hemoglobin (HbA1c),fasting blood glucose (FPG),2 h postprandial blood glucose (2 h PG) levels before and after the intervention were compared between the two groups of pregnant women,as well as the occurrence of pregnancy complications and adverse neonatal outcomes.Results Before the intervention,there were no significant difference in HbA1c,FPG and 2 h PG levels between the two groups (P＜0.05).After the intervention,the HbA1c level of pregnant women in the study group was lower than that before the intervention,and the FPG and 2 h PG levels of pregnant women in the two groups were lower than those before the intervention.The HbA1c,FPG and 2 h PG levels of pregnant women in the study group were lower than those in the control group,the differences were statistically significant (P＜0.05).The HbA1c level of pregnant women in the control group after intervention was not significantly different from that before intervention (P＞0.05).There was no significant difference in the incidence of polyhydramnios between the two groups (P＞0.05).The incidence rates of gestational diabetes mellitus,cesarean section,premature delivery,postpartum hemorrhage and pregnancy hypertension in the study group were lower than those in the control group,with statistically significant difference (P＜0.05).The total incidence of adverse neonatal outcomes in the study group was lower than that in the control group,and the difference was statistically significant (P＜0.05).Conclusion Medical nutrition intervention for pregnant women with high blood glucose risk in early pregnancy can effectively control blood sugar and reduce the incidence of complications during pregnancy,which is worthy of application and promotion.

Key words： Early pregnancy Medical nutritional therapy Reduction Gestational diabetes mellitus

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	KONG Guan-mei
	DENG Yu
	LIN Jin
	HUANG Wei
	CHEN Li-juan

Cite this article:

KONG Guan-mei,DENG Yu,LIN Jin, et al. Application effect of medical nutrition intervention in early pregnancy on pregnant women with high blood glucose risk[J]. 中国当代医药, 2020, 27(1): 131-134.

URL:

http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2020/V27/I1/131

[1]	Chamberlain C，Fredericks B，McLean A，et al.Associations with low rates of postpartum glucose screening after gestational diabetes among Indigenous and non-Indigenous Australian women[J].Aust N Z J Public Health，2015，39（1）：69-76.
[2]	范岩峰，黄秋云，蔡李倩，等.分娩巨大儿影响因素和妊娠期糖尿病营养治疗效果的干预研究[J].中国妇幼保健，2015，30（19）：3246-3250.
[3]	胡玉菊，李淑娟，胡可佳，等.动态血糖监测指导个体化营养联合运动对妊娠期糖尿病孕妇的疗效分析[J].海军医学杂志，2018，39（1）：58-61，65.
[4]	劳丹青，赵华，何芸萍，等.营养膳食联合经皮下注射胰岛素对妊娠期糖尿病合并高脂血症孕妇血糖、血脂及妊娠结局的影响[J].中国妇幼保健，2017，32（12）：2561-2564.
[5]	郝苏琦.个体化营养指导联合运动管理对妊娠期糖尿病孕妇体质量及妊娠结局的影响分析[J].糖尿病天地，2018，15（4）：170，172.
[6]	Bao W，Yeung E，Tobias DK，et al.Long-term risk of type 2 diabetes mellitus in relation to BMI and weight change among women with a history of gestational diabetes mellitus：a prospective cohort study[J].Diabetologia，2015，58（6）：1212-1219.
[7]	陶旻枫，丁辉，游川，等.北京市围产营养门诊妊娠期糖尿病孕妇的焦虑、抑郁状况及相关影响因素[J].神经疾病与精神卫生，2017，17（4）：257-260.
[8]	冯咏梅.围产期营养门诊对妊娠期糖尿病孕妇胰岛素敏感性、胎盘及脂肪组织中炎症反应的影响[J].海南医学院学报，2017，23（14）：1934-1937.
[9]	姜百灵，张方芳.孕期营养监测与健康教育对降低妊娠期糖尿病发病率的临床效果分析[J].中西医结合心血管病电子杂志，2018，6（18）：72-73，76.
[10]	柳亚芬，吕艳丽，王秀云，等.孕期规范化综合营养干预对妊娠期糖尿病孕妇妊娠结局的改善作用观察[J].中国医刊，2018，53（1）：57-60.
[11]	莫琴，胡翔，林丽妮，等.妊娠早中期个体化医学营养管理降低妊娠期糖尿病发生率作用的研究[J].中国医药科学，2017，7（12）：187-191，198.
[12]	Noctor E，Crowe C，Carmody LA，et al.ATLANTIC-DIP：prevalence of metabolic syndrome and insulin resistance in women with previous gestational diabetes mellitus by International Association of Diabetes in Pregnancy Study Groups criteria[J].Acta Diabetol.2015，52（1）：153-160.
[13]	杨丽英.妊娠中晚期营养指导对妊娠期糖尿病孕妇血糖控制、分娩结局和新生儿体重的影响[J].黑龙江医学，2016，40（5）：472-473.
[14]	王金凤.妊娠期糖尿病危险因素及对妊娠结局的影响[J].中国医药导报，2017，14（24）：135-138.
[15]	刘文秀，崔雪珍，包为星，等.个体化营养护理对妊娠期糖尿病合并高血压孕妇干预效果的临床观察[J].齐齐哈尔医学院学报，2017，38（7）：846-848.
[16]	温延丽.个性化营养膳食对妊娠期糖尿病孕妇血糖控制效果及并发症的影响分析[J].中国妇幼保健，2015，30（32）：5561-5562.