论文部分内容阅读
目的探讨医学营养治疗在妊娠期糖尿病治疗中的作用。方法本院行产前检查并分娩的孕妇336例,其中正常妊娠孕妇112例为对照组,孕期接受医学营养治疗的妊娠期糖尿病孕妇112例为干预组,孕期未接受医学营养治疗的妊娠期糖尿病孕妇112例为糖尿病组,比较3组妊娠期高血压、羊水过多、巨大儿发生率及剖宫产率、肩难产率。结果对照组妊娠期高血压、羊水过多、巨大儿发生率及剖宫产率、肩难产率分别为2.6%、3.6%、8.9%、29.0%、0.9%;干预组分别为3.6%、5.3%、10.7%、31.4%、1.7%;糖尿病组分别为10.7%、19.3%、21.4%、37.7%、4.5%,糖尿病组各指标高于对照组与干预组(P<0.05),对照组与干预组各指标间比较差异无统计学意义(P>0.05)。结论妊娠期糖尿病患者应用医学营养治疗可将血糖控制在正常范围,可降低剖宫产率、肩难产率。
Objective To explore the role of medical nutrition therapy in the treatment of gestational diabetes mellitus. Methods The hospital prenatal examination and delivery of pregnant women 336 cases, of which 112 cases of normal pregnant women as control group, pregnant women receiving medical nutrition during pregnancy, 112 cases of pregnant women with diabetes intervention group, did not receive medical nutrition during pregnancy gestational diabetes One hundred and twelve pregnant women with diabetes mellitus were included in this study. The gestational hypertension, polyhydramnios, the incidence of macrosomia, cesarean section rate and shoulder dystocia rate in the three groups were compared. Results The gestational hypertension, polyhydramnios, macrosomia, cesarean section rate and shoulder dystocia rate in the control group were 2.6%, 3.6%, 8.9%, 29.0% and 0.9% respectively. The intervention group were 3.6% and 5.3 (10.7%, 19.3%, 21.4%, 37.7% and 4.5%, respectively) in diabetic group were significantly higher than those in control group and intervention group (P <0.05) There was no significant difference between the intervention groups (P> 0.05). Conclusion Gestational diabetic patients with medical nutrition therapy can control the blood glucose in the normal range, can reduce the rate of cesarean section, shoulder dystocia rate.