人体成分分析仪指导营养治疗对妊娠期糖尿病的影响*

Effect of human body composition analyzer guided nutritional therapy for gestational diabetes mellitus*

摘要:

目的 观察人体成分分析仪指导营养治疗对妊娠期糖尿病患者疾病控制及母婴结局的影响。方法 从2016年9月—2017年10月河北省人民医院收治的妊娠期糖尿病患者中选取124例作为研究对象，随机将其分为治疗组和对照组，每组各62例。对照组给予一般饮食指导及正常产检，治疗组依据人体成分分析结果进行营养治疗，同时建立个人行为追踪档案，定期干预。对比两组患者分娩方式、孕妇结局与围生儿结局。结果 两组顺产率比较，差异有统计学意义（P?<0.05），治疗组高于对照组。两组剖宫产率比较，差异有统计学意义（P?< 0.05），治疗组低于对照组；妊娠期高血压、糖尿病并发症、羊水过多、孕期感染比较，差异有统计学意义（P?< 0.05），治疗组低于对照组；两组围生儿巨大儿、新生儿窒息、围生儿死亡、转NICU比较，差异有统计学意义（P?<0.05），治疗组低于对照组。结论 人体成分分析仪指导营养治疗妊娠期糖尿病患者，可提高顺产率，降低剖宫产率，有效降低母婴并发症，改善母婴结局。

Abstract:

Objective To observe the effects of human body composition analyzer guided nutritional therapy on disease control in patients with gestational diabetes mellitus. Methods A total of 124 cases of patients with gestational diabetes mellitus who were admitted in our hospital from September 2016 to October 2017 were selected as the research subjects. They were randomly divided into treatment group and control group (n?=?62). The control group was given general diet guidance and normal prenatal examination, and patients in the treatment group was given nutritional prescriptions for medical nutrition treatment based on human body composition analysis. Personal behavior tracking files, delivery methods, maternal outcomes and perinatal outcomes were recorded. Results Rate of natural delivery was increased while rate of cesarean section was decreased in the treatment group compared with those in the control group (P?