中文摘要：

【目的】探讨个体化营养干预依从程度对妊娠期糖尿病孕妇母婴的影响。【方法】选取2013年10月至2014年9月在本院门诊确诊的妊娠期糖尿病单胎孕妇150例，由专业营养师在孕24周、孕32周、孕36周至少3次进行一对一的个体化营养干预和指导，并由专人追踪随访至分娩结束，在干预过程中由孕妇填写个体化营养干预依从性评价表，根据评价结果将孕妇分为依从性较好组和依从性较差组，比较两组孕期并发症和围产结局。【结果】依从性较好组孕期并发症，如妊娠期高血压疾病、羊水过多、早产均显著低于依从性较差组，差异有统计学意义（均Pdo．05）；依从性较好组围产结局剖宫产、巨大儿均显著低于依从性较差组，差异有统计学意义（均P〈0．05）。【结论】个体化营养干预过程中妊娠期糖尿病孕妇的依从程度影响了母儿的妊娠结局，需不断探讨和改进营养指导的方法，以提高妊娠期糖尿病孕妇营养治疗的依从程度，从而改善妊娠期糖尿病的妊娠结局。

英文摘要：

[Objective]To explore the effect of different compliance to individualized nutrition intervention on pregnant women and child with gestational diabetes mellitus. [Methods]One hundred and fifty singleton pregnant women diagnosed with gestational diabetes mellitus between October 2013 and September 2014 were given at least three one-to-one individualized nutrition intervention and guidance at the 24th, 32ndand 36th week of the pregnant period by professional nutritionist. They were followed up until the deliveries were finished. These pregnant women should complete a form to evaluate the compliance to individualized nutrition intervention during the intervention, and then they were divided into two groups： one with better compliance and another with poor compliance. Pregnancy complications and perinatal outcomes of these two groups were compared. [Results] Incidence rates of pregnancy complications （gestational hypertension, polyhydramnios, pre- term labor） in the group with better compliance were significantly lower than the group with poor compliance, the difference was statistically significant （ P 〈0.05）. Incidence rates of perinatal outcomes（cesarean section, macrosomia） in group with better compliance were significantly lower than the poor compliance group, the difference was statistically significant （ P 〈0.05）.[Conclusion]The compliance level of pregnant women with gestational diabetes during individualized nutrition intervention affect maternal and infants＇ pregnant outcomes. We need to explore and improve nutrition guidance methods constantly, to improve the degree of compliance of pregnant women with gestational diabetes mellitus with the nutrition therapy, thereby improving the pregnant outcomes of gestational diabetes mellitus.