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目的评估医学营养治疗(MNT)干预妊娠期糖尿病(GDM)对妊娠结局的影响。方法选择2013—2015年6月在嘉兴市妇幼保健院确诊的GDM孕妇451人,按照自愿原则分为MNT组(223人)和对照组(228人),两组均给予定期产科检查和孕期健康宣教,MNT组还同时采取医学营养治疗干预,比较两组在高危妊娠、妊娠结局和并发症、新生儿疾病发生情况方面的差异。结果MNT组高危妊娠(67.71%)、剖宫产(55.16%)、早产(0.90%)、低出生体重儿(1.80%)及新生儿疾病(9.42%)发生率均低于对照组的76.75%、70.61%、5.70%、9.65%和11.84%(P<0.05)。结论 GDM孕妇采用合理的医学营养治疗,对改善妊娠结局和新生儿结局具有积极作用。
Objective To assess the effect of medical nutrition therapy (MNT) on gestational diabetes mellitus (GDM) on pregnancy outcome. Methods 451 pregnant women with GDM diagnosed in Jiaxing MCH from June 2013 to June 2015 were divided into MNT group (223 persons) and control group (228 persons) on a voluntary basis. Both groups were given regular obstetric examination and pregnancy health In the mission, the MNT group also took medical nutritional interventions, and compared the differences between the two groups in high-risk pregnancies, pregnancy outcomes and complications, and neonatal morbidity. Results The incidence of high risk pregnancy (67.71%), cesarean section (55.16%), preterm birth (0.90%), low birth weight children (1.80%) and neonatal diseases (9.42%) in MNT group was lower than 76.75% , 70.61%, 5.70%, 9.65% and 11.84% respectively (P <0.05). Conclusion GDM pregnant women with reasonable medical nutrition treatment, to improve the pregnancy outcome and neonatal outcome has a positive effect.