多囊卵巢综合症IR孕妇饮食干预与新生儿预后研究

The studies on the diet intervention on pregnant women with polycystic ovary syndrome and insulin resistance and neonatal prognosis

目的探讨多囊卵巢综合征IR孕妇饮食干预对新生儿预后的影响。方法选取我院2010年06月——2012年6月诊断为多囊卵巢综合征IR孕妇152例,按其依从性分为治疗组(接受饮食干预组)和对照组(未接受饮食干预组)。对两组孕妇体重增长、妊娠期糖尿病及新生儿预后进行比较分析。结果对照组孕妇体重增长、妊娠期糖尿病、新生儿窒息、宫内窘迫、低血糖、巨大儿、低出生体重儿、高胆红素血症、呼吸窘迫综合症、颅内出血、畸形等疾病发生率均明显高于治疗组,组间比较差异显著(p【0.05)。结论对多囊卵巢综合征IR孕妇进行饮食干预,可以降低妊娠期糖尿病发病率,改善新生儿预后。

Objective To explore the effect on the neonatal prognosis of pregnant women with polycystic ovary syndrome and insulin resistance after diet intervention.Method 152 pregnant women diagnosed with polycystic ovary syndrome and insulin resistance were selected from 2010.6 to 2012.6 in our hospital.According to their compliance,all the patients were assigned to the treatment(accept diet intervention)or control group(not accept diet intervention).The weight gain of pregnant women,gestational diabetes mellitus and neonatal prognosis of two groups would be comparative analyzed.Results The weight gain of pregnant women and the incidence rates of diseases such as gestational diabetes mellitus,neonatal asphyxia,fetal distress,hypoglycemia,macrosomia,low birth weight infant,hyperbilirubinemia,respiratory distress syndrome,intracranial bleeding,malformation in the control group were obviously higher than the treatment group,and the comparison between groups was significantly different(p<0.05).Conclusion The diet intervention on pregnant women with polycystic ovary syndrome and insulin resistance could decrease the rate of gestational diabetes mellitus and improve neonatal prognosis.