饮食调剂和运动管理对妊娠糖尿病产妇母婴结局的临床意义  

Clinical significance of diet adjusting and sport management on maternal and infant outcomes in pregnant women with gestational diabetes mellitus

作　　者：黄晶[1] 张明铭[1] 黄飞燚[1] HUANG ring;ZHANG Mingming;HUANG Feiyi(Guangxi Hospital jbr Maternal and Child Heahh,Guangxi Zhuang Autonomous Region,Nanning 530000,China)

机构地区：[1]广西壮族自治区妇幼保健院,南宁市530000

出　　处：《河北医药》2018年第19期3021-3023,3027,共4页Hebei Medical Journal

摘　　要：目的探讨妊娠糖尿病产妇实施饮食调剂和运动管理对其母婴结局的临床意义。方法选取225例妊娠糖尿病患者作为研究对象,根据患者所使用的干预方式,将225例患者随机分为饮食组、运动组和联合组,每组75例。饮食组患者给予饮食调剂干预,运动组患者给予运动管理干预,联合组患者给予饮食调剂联合运动管理干预。比较3组受试者干预前后血糖[空腹血糖(FPG)、餐后2 h血糖(2 hPG)、糖化血红蛋白(HbA1c)]、血脂水平[总胆固醇(TC)、三酰甘油(TG)]以及SF-36量表评分以及治疗前后的母婴结局。结果饮食组受试者干预前后血糖、血脂水平以及SF-36量表评分差异无统计学意义(P>0.05);干预后,3组受试者血糖、血脂水平以及SF-36量表评分均得到有效改善,且联合组改善程度优于另外2组,差异有统计学意义(P<0.05);联合组受试者娩出新生儿早产率、巨大婴儿率和胎儿畸形率均明显优于饮食组、运动组(P<0.05);3组受试者娩出新生儿Apgar评分差异无统计学意义(P>0.05)。结论饮食调剂和运动管理相结合作为治疗妊娠期糖尿病的一种重要方法,能够有效改善妊娠糖尿病产妇的血糖状态与母婴结局,有助于提高产妇生活质量。Objective To investigate the clinical significance of diet adjusting and sport management on maternal and infant outcomes in pregnant women with gestational diabetes mellitus（ GDM）. Methods A total of 225 patients with GDM were enrolled in the study. According to the intervention methods,these patients were randomly divided into diet intervention group,exercise intervention group and combination intervention group（ diet ＋ exercise intervention）,with 75 patients in each group. The blood glucose,blood lipid levels,SF-36 scale score and maternal and infant outcomes before and after intervention were observed and compared among the three groups. Results There were no significant differences in blood glucose,blood lipid levels and SF-36 scale scores in diet intervention group before and after intervention（ P〈0. 05）. After intervention,the blood glucose,blood lipid levels and SF-36 scale scores were improved effectively in the three groups,but the improvement degree in combination intervention group was superior to that in the other two groups（ P〈0. 05）. Moreover premature birth rate of neonates and incidence rates of giant infant and fetal anomaly in combination intervention group were superior to those in the other two groups（ P〈0. 05）. However there were no significant differences in Apgar scores of neonates among the three groups（ P〈0. 05）. Conclusion The diet adjusting combined with sport management can effectively improve the blood sugar status and outcomes of mother and infant in pregnant women with GMD,which is helpful to improve the life quality of puerpera.

关 键 词：妊娠糖尿病 饮食调剂 运动管理 母婴结局 

分 类 号：R587.1[医药卫生—内分泌]