妊娠期糖尿病患者的个体化营养和运动疗法  

Individualized nutrition and exercise therapy in treatment of patients with gestational diabetes mellitus

作　　者：徐扬[1] 张翠军[1] 孙蕾[1] XU Yang;ZHANG Cuijun;SUN Lei(Yangzhou Maternal and Child Health Care Hospital in Jiangsu Province,Yangzhou,Jiangsu,225002)

机构地区：[1]江苏省扬州市妇幼保健院,江苏扬州225002

出　　处：《实用临床医药杂志》2020年第24期67-69,共3页Journal of Clinical Medicine in Practice

基　　金：2018年江苏省妇幼健康科研项目(F201840)。

摘　　要：目的探讨个体化营养和运动疗法对妊娠期糖尿病(GDM)患者妊娠结局的影响。方法将120例GDM孕妇分为2组,每组60例。观察组给予个体化营养和运动疗法,对照组给予常规指导。比较2组孕妇空腹血糖(FPG)、餐后2 h血糖(2 hPG)、总胆固醇(TC)及甘油三酯(TG)水平,比较2组孕妇的妊娠结局。结果治疗后,观察组FPG、2 hPG、TC、TG下降,差异有统计学意义(P<0.01),对照组2 hPG、TC、TG水平降低,差异有统计学意义(P<0.05)。观察组孕妇剖宫产、羊水过多、巨大儿、胎儿生长受限、新生儿呼吸窘迫综合征的发生率均低于对照组孕妇,差异有统计学意义(P<0.05)。结论个体化营养和运动疗法可以显著改善GDM孕妇的血糖状况,减少不良妊娠结局的发生。Objective To explore the effect of individualized nutrition and exercise therapy on pregnancy outcomes of patients with gestational diabetes mellitus(GDM).Methods Totally 120 pregnant women with GDM were divided into two groups,with 60 cases in each group.Observation group was treated with individualized nutrition and exercise therapy,while control group was treated with routine guidance.Fasting blood glucose(FPG),2 h postprandial blood glucose(2 hPG),total cholesterol(TC)and triglyceride(TG)levels were compared between the two groups.The pregnancy outcomes of the two groups were compared.Results After treatment,the levels of FPG,2 hPG,TC and TG decreased significantly in the observation group(P<0.01),and the levels of 2 hPG,TC and TG decreased significantly in the control group(P<0.05).The incidence rates of cesarean section,hydramnios,macrosomia,fetal growth restriction and neonatal respiratory distress syndrome in the observation group were significantly lower than those in the control group(P<0.05).Conclusion Individualized nutrition and exercise therapy can significantly improve the blood glucose status of pregnant women with GDM and reduce the incidence of adverse pregnancy outcomes.

关 键 词：妊娠期糖尿病 个体化营养和运动疗法 妊娠结局 空腹血糖 

分 类 号：R714.25[医药卫生—妇产科学] R459.3[医药卫生—临床医学]