妊娠期糖代谢异常孕妇的营养状况分析[广东省人民医院]

妊娠期糖代谢异常孕妇的营养状况分析

李远红, 马文君, 张燕军, 肖本熙, 戚本华, 余 薇, 宁丽梅

(广东省人民医院 广东省医学科学院营养科, 广东广州 510080)

摘要:目的: 了解糖代谢异常孕妇孕中期的营养状况, 为有针对性地指导其合理营养, 保证母婴健康提供依据。

方法: 回顾分析 63例糖代谢异常的单胎孕妇孕中期的营养状况, 并采用 24 h回顾法膳食调查, 分析其膳食中能量和营养素的摄入情况。

结果: 糖代谢异常的孕妇孕中期血浆总蛋白为 ( 63. 88±4. 21) g/L, ALB为 ( 34. 66± 3. 69)g /L, Hb为 (117. 10± 11. 56) g /L。蛋白质营养不良 (ALB< 35 g /L)的发生率高达 47. 62% ( 30/63), 贫血 (Hb< 100g /L)发生率为 6. 35% ( 4/63)。其孕中期每天膳食中的能量、蛋白质、脂肪和糖类的摄入量, 分别为 ( 8 926. 52 ±1 847. 86) kJ、( 87. 29± 23. 58) g、( 69. 13± 16. 19) g、( 290. 55± 75. 07) g。与按其身高、孕前体质量、体力活动和孕周而计算的参考摄入量比较, 差异有显著性意义 (P < 0. 05, P < 0. 001)。其中每天能量摄入 > 9 205 kJ, 占 41. 27%( 26/63), 蛋白质产热比 > 20%, 占 7. 94% ( 5/63), 脂肪产热比 > 30%, 占 36. 51% ( 23/63), 糖类产热比 > 50%, 占79. 36% ( 50/63)。

结论: 孕中期糖代谢异常的孕妇蛋白质营养不良的发生率高, 膳食中能量摄入偏高, 蛋白质摄入偏低, 三大营养素产热比不合理, 应给予及时纠正。

关键词: 妊娠期糖尿病; 妊娠期糖耐量减低; 营养状况

中图分类号: R714. 256; R587. 1 文献标识码: A 文章编号: 1007-810X( 2009) 02-0073-04

Analysis on nutritional status of pregnantwomen with abnorm al glucosem etabolism

L IYuan-hong, MA W en-jun, ZHANG Yan-jun, XIAO Ben-xi , QI Ben-hua, YU W ei, NING L-imei

(Departm ent of Nutrition, GuangdongProvincePeople ' sH ospital, Guangdong Academy of Medical Science,

Guangzhou 510080, Guangdong, China)

Abstract: Objective: To observe nutritional status in the pregnancy metaphase w ith abnormal glucosemetabolism. Methods: To review nutritional status in total 63 cases of single pregnancy m etaphasewomen w ith GDM or GIG, dietary 24 h review m ethod were used. The energy andm ajor nutrients intake were analysed.

Results: Total protein was( 63. 88 ± 4. 21) g /L, ALB was( 34. 66 ± 3. 69) g/L andHb

was ( 117. 10 ± 11. 56) g /L in the pregnancy metaphase w ith abnormal glucose metabolism. The inc-idence of protein-malnutrition was 47. 62% ( 30/63), and the incidence of anem ia was 6. 35% ( 4/63).

The total intake of energy, protein, fat , and carbohydrate per day were( 8 926. 52 ± 1 847. 86) kJ, ( 87. 29± 23. 58) g, ( 69. 13 ±16. 19) g, ( 290. 55 ± 75. 07) g respectively.

Conclusion: The incidence rate ofprotein-m alnutrition was higher in the pregnancymetaphasew ith abnormal glucosemetabolism. The ener-gy intake was bigger and the protein intake was lower. The percentage of energy from protein, fat andcarbohydrate were unreasonable.

Key words: Gestational diabetesmellitus; Impaired glucose tolerance; Nutritional status

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