综合干预联合等长抗阻力运动对妊娠期糖尿病患者血糖水平以及妊娠结局的影响  

Effect of diet intervention combined with equal length anti resistance exercise on blood glucose level and pregnancy outcome in patients with gestational diabetes mellitus

作　　者：方慧苹[1] 陈晓燕[1] 代小维[1] 邢秋萍 FANG Hui-ping;CHEN Xiao-yan;DAI Xiao-wei;Xing Qiu-ping(Department of Obstetrics,Shenzhen Nanshan District Maternal and Child Health Hospital,Guangdong Province,Shenzhen518000,China)

机构地区：[1]深圳市南山区妇幼保健院产科,广东深圳518000

出　　处：《中国当代医药》2020年第22期209-212,共4页China Modern Medicine

基　　金：广东省深圳市南山区科技计划项目(医疗卫生类)(2019060)。

摘　　要：目的探讨综合干预联合等长抗阻力运动对妊娠期糖尿病(GDM)患者血糖水平及妊娠结局的影响。方法选取2019年5~12月我院收治的120例GDM患者作为研究对象,按照随机数字表法将其分为对照组(n=60)及观察组(n=60)。对照组采用综合护理干预,观察组采用综合干预联合等长抗阻力运动护理干预,比较两组的血糖水平及妊娠结局情况。结果干预后,观察组的糖化血红蛋白(HbA1c)为(5.68±1.02)%、餐后2 h血糖(2 h PG)为(5.59±0.88)mmol/L、空腹血糖(FPG)为(4.39±0.55)mmol/L、新生儿不良结局总发生率(11.67%)及围生期并发症总发生率(1.67%)低于对照组的HbA1c(6.90±1.28)%、2 h PG(7.48±1.33)mmol/L、FPG(5.20±0.63)mmol/L、新生儿不良结局总发生率(41.67%)及围生期并发症总发生率(15.00%),差异均有统计学意义(P<0.05)。结论给予GDM患者等长抗阻力运动护理配合综合护理干预,可有效改善患者的妊娠结局,应用价值较高。Objective To explore the effect of comprehensive intervention combined with equal length anti resistance exercise on blood glucose level and pregnancy outcome in patients with gestational diabetes mellitus(GDM).Methods A total of 120 patients with GDM admitted to our hospital from May to December 2019 were selected as research objects.According to random number table method,they were divided into control group(n=60)and observation group(n=60).The control group adopted comprehensive nursing intervention,and the observation group adopted comprehensive intervention combined with equal length anti resistance exercise nursing intervention.The blood glucose level and pregnancy outcomes in the two groups were compared.Results After intervention,glycosylated hemoglobin(HbA1c)was(5.68±1.02)%,blood glucose 2 hours after meal(2 h PG)was(5.59±0.88)mmol/L,fasting blood sugar(FPG)was(4.39±0.55)mmol/L,total incidence of adverse neonatal outcomes(11.67%)and perinatal period the total incidence of complications(1.67%)were lower than those of HbA1c for(6.90±1.28)%,2 h PG for(7.48±1.33)mmol/L,FPG for(5.20±0.63)mmol/L,total incidence adverse outcome of newborn(41.67%)and perinatal complications(15.00%)in the control group,the differences were statistically significant(P<0.05).Conclusion The patients with GDM who are given equal length anti resistance exercise nursing combined with comprehensive nursing intervention,the pregnancy outcome is effectively improved,and the application value is higher.

关 键 词：妊娠期糖尿病 妊娠结局 等长抗阻力运动 糖化血红蛋白 空腹血糖 

分 类 号：R473.71[医药卫生—护理学]