运动疗法与中医饮食干预对妊娠期糖尿病患者的妊娠结局影响  

Effects of exercise therapy and traditional Chinese dietary intervention to pregnancy outcomes in patients with gestational diabetes

作　　者：邢惠卿[1] 蔡婉静[1] 卢敏[1] 陈蔚[2] 

机构地区：[1]海南省人民医院秀英产科,海口570311 [2]海南医学院附属医院妇产科,海口570102

出　　处：《中国临床药理学杂志》2015年第17期1713-1715,共3页The Chinese Journal of Clinical Pharmacology

基　　金：海南省医学科研立项课题基金资助项目(琼卫2012 PT-27)

摘　　要：目的探讨运动疗法与中医饮食干预对妊娠期糖尿病患者的妊娠结局影响。方法将130例妊娠期糖尿病孕妇随机分为试验组65例与对照组65例。对照组予以自我调节与自我干预,要求自我进行低糖饮食与散步运动;试验组予以分阶段的运动疗法与中医饮食干预,所有的干预活动都持续到孕妇分娩时。观察2组孕妇的伴发疾病与分娩预后,同时观察新生儿疾病的发病状况。结果治疗后,试验组的羊水指数、孕期增长体重、分娩体重、空腹血糖及餐后2 h血糖值都明显低于对照组(P<0.05)。试验组剖宫产率23.08%显著低于对照组剖宫产率49.23%(P<0.05)。试验组的妊娠高血压疾病、早产、羊水过多、胎儿窘迫、产后出血的发病率都明显低于对照组(P<0.05)。试验组的新生儿窒息、新生儿低血糖与新生儿高胆红素血症的发病率都明显低于对照组(P<0.05)。结论安全有效的运动疗法与中医饮食干预有利于改善妊娠糖尿病孕妇对葡萄糖的有效利用,改善妊娠期指标,减少剖宫产,保障母婴安全健康。Objective To investigate the effects of exercise therapy and traditional Chinese dietary intervention to pregnancy outcomes in patients with gestational diabetes. Methods One hundred thirty patients with gestational diabetes were equally divided into treatment group and control group based on the random number table,the control group were received conventional intervention that included low- carb diets and walking motion,the treatment group were received exercise therapy and traditional Chinese dietary intervention,all interventions were continued to pregnant clildbirth,the pregnancy and newborn outcomes were observed. Results The amniotic fluid index,body weight increase during pregnancy,birth weight,fasting glucose and 2h postprandial blood glucose in the treatment group were significantly lower than that of control group（ P 〈0. 05）. The cesarean section rates in the treatment and control group were 23. 08%,and 49. 23%,significantly difference（ P〈 0. 05）.The hypertensive disorders of pregnancy,prematurity,polyhydramnios,fetal distress,postpartum hemorrhage incidence rates in the treatment group were significantly lower than that of control group（ P〈 0. 05）. The neonatal asphyxia, neonatal hypoglycemia neonatal hyperbilirubinemia incidences in the treatment group were significantly lower than that incontrol group（ P 〈0. 05）. Conclusion The safe and effective exercise therapy and traditional Chinese dietary intervention can help to improve the effective use of glucose in pregnant women with gestational diabetes,improve pregnancy indicators and reduce the cesarean section,and give safety protection for maternal and child health.

关 键 词：妊娠期糖尿病 运动疗法 中医饮食干预 妊娠结局 

分 类 号：R587.1[医药卫生—内分泌] R969.4[医药卫生—内科学]