营养教育卡教育模式对辅助生殖技术助孕成功孕妇糖代谢的影响

摘要

Objective To evaluate the effect of nutrition card education on the incidence of gestational diabetes mellitus (GDM) in women pregnant by assisted reproductive technology (ART).Methods 295 women pregnant by assisted reproductive technology were engaged in the study,and were randomly divided into an experimental group (n=151) and a control group (n=144).The experimental group took diet guided by nutrition card education,while the control group attended hospital lectures related to pregnancy regularly.The increase of body mass,the incidence of GDM,and the OGTT blood glucose,including FPG (Fasting plasma glucose),1hPG (1 hours postprandial blood glucose),2hPG (2 hours postprandial blood glucose),were compared between the two groups.Results The body weight gain (t=-9.03,P=0.000),FPG (t=-2.37,P=0.018),1hPG (t=-3.55,P=0.000),2hPG (t=-3.64,P=0.000),and incidence of GDM (11.1％ vs.4.6％,x2=4.229,P=0.038) were significantly higher in the control group than in the control group.Conclusion Nutrition card education can reduce the incidence of gestational diabetes in women pregnant by reproductive technology and should be popularized.%目的 评估营养教育卡教育模式对辅助生殖技术助孕成功孕妇妊娠糖尿病发生率的影响.方法 选取2017年1月至5月在本院进行辅助生殖助孕成功孕妇295例,随机分为试验组151例,对照组144例;试验组采用营养教育卡教育模式进行饮食指导,对照组参加医院定期举办的孕期相关健康教育课程;比较两组之间孕期体质量增加、OGTT血糖值的差异以及妊娠糖尿病的发生率.结果 对照组孕期体质量增加高于试验组,差异有统计学意义(t=-9.03,P=0.000);对照组OGTT的FPG高于试验组,差异有统计学意义(t=-2.37,P=0.018);1hPG高于试验组,差异有统计学意义(t=-3.55,P=0.000);对照组2hPG高于试验组,差异有统计学意义(t=-3.64,P=0.000);对照组GDM发生率(11.1％)高于试验组(4.6％),差异有统计学意义(x2 =4.229,P=0.038).结论 营养教育卡教育模式能降低辅助生殖技术助孕成功孕妇妊娠糖尿病发生率,应推广使用.