Investigation and Analysis on the Nutrition during Pregnancy in the Gestational Diabetes Patients
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目的:通过调查和分析妊娠期糖尿病患者摄入各类营养素的情况及结局的发生情况,为妊娠期糖尿病患者合理饮食提供科学依据.方法:对我院250例确诊为妊娠期糖尿病的孕妇建立营养监测表,记录其一般情况(包括年龄、孕期、孕前体重、当前体重、BMI 指数)、各类营养素的实际摄入量情况和结局发生情况.采用单样本 t 检验比较摄入情况与推荐量的差别;运用频率法对结局情况进行统计分析.结果:在营养摄入方面,仅维生素 A 实际摄入量与推荐量差异无统计学意义(P>0.05),其余均有明显差异(P<0.05).蛋白质、脂肪、碳水化合物摄取不达标准率分别为52%、87%、82%.三餐供能比分别为24.8%、38.7%、36.5%.结论:妊娠期糖尿病孕妇在营养素摄取方面普遍存在摄取不平衡,需要根据实际情况加强对妊娠期糖尿病患者进行合理的饮食指导.
Objective: To analyze the intake of nutrients, minerals and trace elements in the gestational diabetes patients and the occurrence of adverse outcomes. To provide reasonable diet guidance to the gestational diabetes patients. Methods: To establish pregnancy nutrition surveillance tables for 250 cases diagnosed as gestational diabetes. Recorded their general conditions (age, pregnancy, pre-pregnancy weight, the current weight, the BMI index), actual intake of various nutrients, minerals, trace elements; the energy provided by the three major nutrients and their proportions;adverse outcomes. Single-sample t-test and frequency method were used for statistical analysis.Results: Compared with the recommended intake, the difference of vitamin A was no statistically significant (P> 0.05), while the rest showed significant differences (P <0.05). 52%, 87%, and 82% patients did not get enough protein, fat, and carbohydrate, respectively. 24.8%, 38.7%, and 36.5% energy were provided by three meals in a day, respectively. Conclusion: The gestational diabetes patients had widespread misunderstanding in the nutrient intake, resulting in unbalance nutrient intake. We should strengthen the guidance of gestational diabetes diet.