目的 分析妊娠期综合营养干预对妊娠期糖尿病产妇糖脂代谢水平的影响.方法 选择在本院接受治疗的妊娠期糖尿病产妇作为研究对象,随机分为接受常规干预的对照组及接受妊娠期综合营养干预的观察组,比较其干预后的血糖水平、血脂水平、母婴围生结局等差异.结果 观察组孕妇接受干预后的空腹、餐后及零点血糖水平均明显低于对照组孕妇(P<0.05).观察组孕妇接受干预后的甘油三酯、胆固醇、低密度脂蛋白(LDL)和载脂蛋白B(ApoB)水平明显低于对照组,高密度脂蛋白(HDL)和载脂蛋白A-Ⅰ(ApoA-Ⅰ)水平明显高于对照组(P<0.05).观察组孕妇接受干预后的各项母婴围生期并发症发生率均显著低于对照组孕妇(P<0.05).结论 妊娠期综合营养干预可以明显降低糖尿病孕妇的血糖及血脂水平,降低围生期母婴并发症的发生率,保障母婴生命安全.%Objective To analyze the effect of comprehensive nutrition intervention on gestational diabetes women's glucose and lipid metabolism. Methods Choosed gestational diabetes women in our hospital as study object, randomly divided into control group receiving conventional intervention and observation group receiving comprehensive nutritional interventions, compare their blood glucose levels, blood lipid levels, maternal and child perinatal outcomes.Results observation group women's blood glucose levels were significantly lower than control group women(P<0.05). Observation group women's TG、TC、LDL、ApoB levels were significantly lower than control group, HDL and ApoA-Ⅰlevels were significantly higher than control group(P<0.05). Observation group women's maternal perinatal complications were significantly lower than control group women (P<0.05).Conclusion Comprehensive nutritional intervention during pregnancy can significantly lower blood glucose and lipid levels in diabetic pregnant women, reduce the incidence of perinatal maternal complications , ensure the safety of mother and child.
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