探讨妊娠期糖尿病(GDM)患者孕中期营养素摄入及孕期增重的关系

Discussion on the Relationship Between the Patients With Gestational Diabetes Mellitus(GDM) Mid Pregnancy Nutrients Intake and the Weight Gain During Pregnancy

目的探讨妊娠期糖尿病(GDM)患者孕中期营养素摄入及孕期增重的关系。方法随机选择2017年6月—2018年6月进行孕期检查的妊娠糖尿病孕妇100例作为观察组,随机选择同一时期进行孕期检查的健康孕妇100例作为对照组,比较两组孕妇孕期增重情况,观察组孕妇孕中期营养膳食摄入与孕期增重关系。结果观察组孕妇孕中期增重和孕期总增重均高于对照组,差异具有统计学意义(P <0.05);两组孕妇孕前期和孕晚期增重情况比较,差异无统计学意义(P>0.05);观察组孕期增重71.00%达标,对照组84.00%达标,观察组孕妇孕期增重符合标准率低于对照组,观察组孕期增重高于标准率高于对照组,差异具有统计学意义(P <0.05)。结论妊娠期糖尿病孕妇孕中期碳水化合物、脂肪、膳食纤维、B1、硒等营养素的摄入情况与孕妇孕期增重密切相关,孕妇需要控制营养素的摄入,合理膳食,以保证自身孕期增重在正常范围。

Objective To investigate the relationship between nutritional intake during the second trimester of pregnancy and gestational weight gain in patients with gestational diabetes mellitus (GDM). Methods 100 pregnant women with gestational diabetes mellitus who underwent pregnancy examination from June 2017 to June 2018 were randomly selected as observation group. A total of 100 healthy pregnant women were randomly selected as the control group. The weight gain during pregnancy was compared between the two groups. The relationship between nutritional dietary intake and pregnancy weight gain of pregnant women in the second trimester of pregnancy was observed. Results The weight gain and total weight gain of pregnant women in the observation group were higher than those in the control group, and the difference was statistically significant (P < 0.05). There was no significant difference in weight gain between the two groups (P > 0.05). The weight gain of the observation group was 71.00% and that of the control group was 84.00%. The compliance rate of weight gain during pregnancy in the observation group was lower than that in the control group. The weight gain of the observation group during pregnancy was higher than the standard rate of the control group, the difference was statistically significant (P < 0.05). Conclusion The intake of carbohydrate, fat, dietary fiber, B1, selenium and other nutrients in pregnant women with gestational diabetes mellitus during the second trimester of pregnancy is closely related to the weight gain of pregnant women. Pregnant women need to control the intake of nutrients and eat a reasonable diet, to ensure that their weight gain during pregnancy in the normal range.