妊娠期糖代谢异常118例进行营养指导临床分析

随着我国居民生活水平的提高,近年来糖代谢异常的孕妇比例逐年增加,妊娠期糖尿病的发病率达1.31%～3.75%,这主要与膳食结构不合理及能量过剩有关。妊娠期糖代谢异常会导致母婴并发症增加。资料与方法:对2008年9月—2010年1月在该院门诊的2218例孕妇于孕24～28周开始做糖尿病筛查试验,所有孕妇均在24～28w进行50g葡萄糖筛查(GST),对于GST异常者做口服葡萄糖75g(OGTT)诊断。结果:118例妊娠期糖耐量异常的孕妇,109例控制在正常范围,总有效率为92.37%。其中GIGT为70例,有效率为97.22%;GDM为46例,39例正常,有效率为84.78%。新生儿出生体重2500g～4000g为107例,占90.67%。体重<2500g为3例,占2.54%。体重>4000g为8例,占6.78%。讨论:妊娠期糖尿病指孕妇在妊娠期发生或发现的不同程度的葡萄糖耐量异常或糖尿病。主要与以下几个因素相关:年龄、生活方式、家族史。

118 Cases Of Abnormal Glucose Metabolism During Pregnancy Clinical Analysis For Nutritional Guidance

With the improvement of living standards in China in recent years,the proportion of pregnant women with abnormal glucose metabolism increases every year,the incidence rate of gestational diabetes 1.31% to 3.75%,which is mainly related to dietary excess of the irrational structure and energy.Abnormal glucose metabolism during pregnancy can cause maternal complications increased.Materials and Methods:September 2008-January 2010 in our clinic in 2218 cases of pregnant women 24 to 28 weeks gestational diabetes ...