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目的剖析不同孕前体质指数妊娠糖尿病孕妇经医学营养治疗后的妊娠结局。方法 2015年1—6月来无锡市妇幼保健院产检中符合要求的257例愿意行医学营养治疗(MNT)的妊娠期糖尿病患者按照体质指数(BMI)分为低体重组(BMI<18.5 kg/m~2)、正常组(18.5 kg/m2≤BMI≤23.9 kg/m~2)、超体重组(BMI>24 kg/m~2)。比较分析各组间胰岛素使用、早产率、低体重儿、巨大儿、剖宫产、产后葡萄糖耐量异常情况的差异。结果经医学营养治疗后,孕前体重超重组胰岛素使用高于正常组(P<0.05),其余差异无统计学意义(P>0.05)。结论孕前不同体质指数妊娠糖尿病孕妇都可通过MNT取得较好的妊娠结局。
Objective To analyze the pregnancy outcomes of pregnant women with gestational diabetes mellitus after medical nutrition treatment. Methods From January to June 2015, 257 pregnant women with gestational diabetes who met the requirement of medical examination in Wuxi Maternal and Child Health Care Hospital were divided into low body weight group (BMI <18.5 kg / m ~ 2), normal group (18.5 kg / m2≤BMI≤23.9 kg / m ~ 2), and overweight group (BMI> 24 kg / m ~ 2) The differences among groups in the use of insulin, premature birth rate, low birth weight children, giant children, cesarean section and postpartum glucose tolerance were compared. Results After medical nutrition treatment, the use of insulin in overweight group before pregnancy was higher than that in normal group (P <0.05), while the other differences were not statistically significant (P> 0.05). Conclusion Pregnant women with gestational diabetes mellitus with different body mass index before pregnancy may get better pregnancy outcome through MNT.