妊娠期个体化医学营养管理对新生儿营养状况影响.docVIP

妊娠期个体化医学营养管理对新生儿营养状况影响 　　【摘 要】 目的：探讨妊娠期个体化膳食指导和营养管理对新生儿状况的影响。方法：纳入妊娠早中期（孕周24周）首次空腹血糖（FPG）检测≥5.1mmol/L且7.0mmol/L的孕妇300名，以随机数字表法均分为2组：对照组进行常规孕期营养指导；观察组进行个体化医学营养管理以及至少8周的随访。统计对比2组妊娠期糖尿病发生率及新生儿中低质量儿、早产儿、巨大儿及营养不良的发生情况。结果：观察组妊娠期糖尿病发生率明显低于对照组，新生儿中低质量儿、早产儿、巨大儿及营养不良发生率明显少于对照组，差异均有统计学意义（P0.05）。结论：妊娠期个体化膳食指导和营养管理有助于降低妊娠糖尿病发生率、改善新生儿营养状况，值得推广。 　　【关键词】 妊娠；膳食指导；营养管理；新生儿并发症 　　【中图分类号】R715.8 【文献标志码】 A【文章编号】1007-8517（2016）11-0067-02 　　Abstract：Objective To probe into the influence of individualized dietary guidance and nutrition management for neonatal status.Methods 300 pregnant women were selected and who in the early and middle pregnancy （gestational age 24 weeks） for the first time， fasting blood glucose （FPG） detection≥5.1mmol/L and7.0mmol/L，and who were divided into two groups according to random number table sharing method.In the control group，they were given routine pregnancy nutrition guidance while in the observation group，they were given the individual medical nutrition management and follow-up for at least 8 weeks.Then，theincidence of gestational diabetes and neonatal low weight infant， premature infant， fetal macrosomia and the occurrence of malnutritionof two groups were statistical compared.Results The incidence of gestational diabetes in the observation group was significantly lower than that in control group.The low quality of newborn infants， premature infants， macrosomia and the incidence of malnutrition were significantly less than those in the control group， and the differences was significant （P0.05）.Conclusion Thepersonalized dietary guidance and nutrition management during the pregnancywhich can helps to reduce the incidence of gestational diabetes， improve neonatal prognosis，thusshould be promoted. 　　Keywords：Pregnancy； Dietary Guidelines； Nutrition Management； Neonatal Complication 　　有研究指出，孕妇妊娠早期高FPG（低于糖尿病的诊断标准）是孕妇发生妊娠期糖尿病的独立危险因素，与之后诊断妊娠期糖尿病和不良妊娠结局有关[1-2]。根据妊娠早期FPG，筛查出高危孕妇，对其尽早干预，开展妊娠期个体化膳食指导和营养管理，可能有助于抑制糖耐量异常的进一步加重，进而降低新生儿不良结局发生率。本研究拟收集300例妊娠早中期（孕龄24