摘要
目的 对孕前超重或肥胖的妊娠期糖尿病孕妇开展饮食运动指导的效果探讨。方法 选取2020年1月—2021年1月期间在临沂市中医医院接受孕检且孕前超重或肥胖的84例妊娠期糖尿病孕妇,以随机数表法分为对照组(接受常规护理,n=42)和研究组(接受常规护理+饮食运动指导,n=42),随访至分娩结束,对比两组孕妇营养摄入情况、新生儿体质量、巨大儿占比。结果 研究组孕妇在妊娠期营养摄入较对照组更为均衡,孕期体质量增长情况明显比对照组更低,差异有统计学意义(P<0.05);研究组新生儿平均体质量、巨大儿占比明显比对照组更低,差异有统计学意义(P<0.05)。结论 对孕前超重及肥胖孕妇开展饮食及运动指导有利于控制妊娠期糖尿病孕妇妊娠期体质量增长,且可有效预防新生儿巨大儿的发生情况。
Objective To explore the effect of diet and exercise guidance for pregnant women with diabetes who are overweight or obese before pregnancy.Methods A total of eighty-four pregnant women with diabetes during pregnancy who received pregnancy tests in Linyi City Hospital of Traditional Chinese Medicine from January 2020 to January 2021 and were overweight or obese before pregnancy were randomly divided into control group(receiving routine care,n=42)and study group(receiving routine care+diet and exercise guidance,n=42)by random number table method.They were followed up until the end of delivery.Nutritional intake,neonatal weight and the proportion of macrosomia were compared between the two groups.Results The pregnant women in the study group had a more balanced nutritional intake during pregnancy compared to the control group,and the pregnancy weight gain was significantly lower than that in the control group,the difference was statistically significant(P<0.05).The average body weight of neonates and the proportion of macrosomia neonates in the study group was significantly lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion Dietary and exercise guidance for overweight and obese pregnant women is beneficial to control weight gain during pregnancy,and effectively prevent macrosomia.
作者
段晓红
DUAN Xiaohong(Department of Nutrition,Linyi Hospital of Traditional Chinese Medicine,Linyi,Shandong Province,276000 China)
出处
《糖尿病新世界》
2023年第2期139-142,共4页
Diabetes New World Magazine
关键词
饮食运动指导
孕前
超重
肥胖
巨大儿
妊娠期糖尿病
Diet and exercise guidance
Before pregnancy
Overweight
Obesity
Macrosomia
Gestational diabetes
