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題 名 | 飲食介入對妊娠糖尿病孕婦的血糖控制效果之評估=The Evaluation of Dietary Intervention on the Blood Glucose Level of Gestational Diabetes Mellitus Pregnant Women |
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作 者 | 陳巧明; 翁筱晶; 李盈靜; 劉珍芳; 曾啟瑞; 簡逸毅; 張景文; 許淳森; | 書刊名 | 中華民國營養學會雜誌 |
卷 期 | 24:3 1999.08[民88.08] |
頁 次 | 頁250-261 |
分類號 | 417.346 |
關鍵詞 | 妊娠糖尿病; 葡萄糖耐受性試驗; 飲食介入; GDM; Gestational diabetes mellitus; OGTT; Oral glucose tolerance test; Dietary intervention; |
語 文 | 中文(Chinese) |
中文摘要 | 本研究之主要目的是擬藉由飲食介入來探討飲食控制對妊娠糖尿病(GDM)孕婦的血糖控制及嬰兒體位等之影響。受試者選自於86年12月至87年11月間至臺北醫學院附設醫院產檢之懷孕24∼28週的孕婦,先進行50g葡萄糖耐受性(OGTT)篩選,若血糖≧135mg/dL,則通知孕婦進行空腹100g OGTT測試,如果血糖仍然異常則成為本研究的受試者,由營養師進行飲食評估及指導。本研究共收集332位孕婦,有98人經50g OGTT篩選異常,佔總人數30%,其中有73人進一步進行100g OGTT測試,有17人100g OGTT異常,佔總人數5.4%, 並有11位接受飲食指導;另外有15位受試者為葡萄糖耐性障礙者,佔總人數的4.5%。結果顯示,受試者50g OGTT的血糖平均值隨著年齡及懷孕前之身體質量指數(Body mass index,BMI)增加有逐漸升高的趨勢,其中年齡31∼35歲及>35歲這兩組分別與<25歲組有統計上的差異,而BMI>24這組則分別與BMI<19與BMI 19∼24 這兩組有統計差異。在進行100 g OGTT時其血糖平均值亦有相似的結果,其中BMI>24這組空腹血糖及服用糖水後1小時及2小時的血糖濃度明顯高於BMI<19及BMI 19∼24這兩組。經飲食指導後,孕婦之空腹血糖值明顯降低,尿糖及尿酮亦有改善的現象,顯示經過飲食控制可以使GDM的孕婦其血糖獲得改善。此外,發現有飲食指導這組,嬰兒體重百分比(以週數百分比表示)平均約為68%,而無飲食指導組嬰兒體重百分比平均則約為80%。因此本研究再次證實GDM的篩選及適當與良好的飲食控制對孕婦而言是非常重要的,尤其是年齡大於30歲或孕前BMI>24之孕婦。 |
英文摘要 | Gestational diabetes mellitus (GDM) is a complicated syndrome during pregnancy and screening is important because early therapy can prevent much of the associated perinatal morbidity. The objective of this study is to evaluate the influence of dietary intervention on the blood glucose level of GDM pregnant women and the growth condition of neonates. Three hundred thirty-two pregnant women between the 24�� and 28�� week of gestation, who were attending the antenatal clinic were screened using a 50 g oral glucose tolerance test (OGTT). Those who had a 1-h plasma glucose greater than 135 mg/dL subsequently underwent a 3-h 100g OGTT. Seventeen (5.4%) of the 332 women were diagnosed as GDM. Eleven GDM women had conducted dietary intervention to manage the blood glucose level. There was a progressive increase in screening plasma glucose levels and significantly higher incidence of GDM with increasing maternal age and body mass index (BMI). After dietary intervention, the blood glucose levle decreased significantly, urinary sugar and ketone level also decreased. The body weight for gestational age of neonates was decreased and kept within normal range for the dietary-intervention group. These results reemphasize the importance of screening of GDM and the dietary control of GDM, especially n BMI > 24 or > 30 year-old pregnant woman. |
本系統中英文摘要資訊取自各篇刊載內容。