论文部分内容阅读
目的 观察饮食治疗对妊娠期糖筛查异常者母儿预后的影响。方法 选择妊娠期糖筛查中,166例不同程度的血糖异常孕妇(单50克葡萄糖筛查试验阳性或OGTT一项异常),其中124例孕期单饮食治疗(A组),42例来接受任何治疗(B组)。食谱是以理想体重为基础,按25～30kcal·kg~(-1)·d~(-1)计算。妊娠前半期为基础日摄入热卡量+150Kcal/日;妊娠后半期为基础日摄入热卡量+350kcal/日。其中碳水化合物、蛋白质、脂肪提供的热卡分别占总热量的50％～60％、15％～20％、25％～30％。结果 A组孕妇新生儿出生体重及巨大儿发生率均低于B组;A组新生儿出生后平均血糖较B组高;A组孕妇的妊高征发生率及新生儿低血糖发生率较B组低。结论 饮食治疗是妊娠期糖筛查异常孕妇的主要治疗措施,孕期经严格饮食治疗对母儿预后均有重要意义。
Objective To observe the effects of diet therapy on the prognosis of maternal and fetal with abnormal glucose screening during gestation. Methods One hundred and sixty-six pregnant women with abnormal glucose tolerance (single 50 gram glucose screening test or one OGTT abnormality) were selected during gestational sugar screening. 124 pregnant women underwent single dietary therapy (group A) and 42 received any Treatment (Group B). Recipe is based on the ideal body weight, according to 25 ~ 30kcal · kg ~ (-1) · d ~ (-1) calculation. The first half of pregnancy as the basis for daily intake of calories + 150Kcal / day; the second half of pregnancy based on daily intake of calories + 350kcal / day. Among them, the calories provided by carbohydrates, protein and fat account for 50% -60%, 15% -20% and 25% -30% of the total calories, respectively. Results The birth weight and the incidence of macrosomia were lower in group A than those in group B. The mean blood glucose level of newborns in group A was higher than that in group B. The incidence of pregnancy induced hypertension and neonatal hypoglycemia in group A were significantly higher than those in group B Low group. Conclusion Diet therapy is the main treatment for pregnant women with abnormal glucose screening during pregnancy. Pregnancy is closely related to the prognosis of maternal and child after strict dietary treatment.