营养治疗对妊娠糖尿病患者及其新生儿的影响.docVIP

营养治疗对妊娠糖尿病患者及其新生儿的影响 　　[摘要] 目的：探讨营养治疗对妊娠糖尿病患者（GDM）以及新生儿的影响。方法：将本院2010年1月～2011年7月收治的妊娠糖尿病患者100例随机分为对照组与治疗组，每组50例，对照组未给予营养治疗，治疗组给予营养治疗。观察两组患者治疗前后的血糖、餐后2 h血糖以及血红蛋白的变化，比较两组剖宫产率、巨大儿出生率、新生儿急性呼吸窘迫综合征（ARDS）等指标。结果：治疗后，治疗组的空腹血糖、餐后2 h血糖以及血红蛋白均明显低于对照组；治疗组剖宫产率、巨大儿出生率、ARDS发生率以及新生儿体重等指标均明显低于对照组，两组上述指标比较差异均有统计学意义（P0.05）。结论：营养治疗能够明显改善妊娠糖尿病患者的各项血糖指标，有助于新生儿的安全诞生，值得推广应用。 　　[关键词] 营养治疗；妊娠糖尿病；新生儿；影响 　　[中图分类号] R587.1 [文献标识码] A [文章编号] 1674-4721（2011）11（c）-037-02 　　The influence of nutrition treatment to gestational diabetes and newborn 　　WANG Yuhua 　　Department of Gynecology and Obstetrics, the Third People′s Hospital of Qidong City, Jiangsu Province, Qidong 226200, China 　　[Abstract] Objective: To discuss the nutrition treatment to gestational diabetes (GDM) and newborn′s influence. Methods: 100 cases with gestational diabetes were stochastic divided into the control group and the treatment group from January 2010 to July 2011 in our hospital, each group of 50 cases, the control group weren′t given the nutrition treatment, the treatment group were given the nutrition treatment. Observed the change of blood sugar, 2 h PG and hemoglobin of two groups of patients berore and after treatment, compared with two groups of cesarean section rate, huge birth rate, newborn acute respiratory distresssyndrome (ARDS) and so on. Results: After the treatment, fasting blood glucose, 2 h PG and hemoglobin of treatment group were lower than the control group obviously; The cesarean section rate, huge birth rate, incidence of ARDS and neonatal weight of treatment group were lower than the control group obviously, the differences of above target of two groups were significant(P0.05). Conclusion: The nutrition treatment can improve the gestational diabetic′s various blood sugars target obviously, it is helpful in newborns safe birth, it is worth to promote and application. 　　[Key words] Nutrition therapy; Gestational diabetes; Newborn; Impact 　　妊娠糖尿病（GDM）是指在妊娠期首次发现或发生糖代谢异常的内分泌疾病，我国妊娠糖尿病的发病率为1%～5%，且有逐年上升