探讨饮食与运动指导对妊娠期糖尿病产妇血糖水平及妊娠结局的影响  

Exploration on the Influence of Diet and Exercise Guidance on the Blood Glucose Level and Pregnancy Outcome of Gestational Diabetic Women

作　　者：李娜 LI Na(Department of Obstetrics and Gynecology,People's Hospital of Liuhe District,Nanjing,Jiangsu Province,211500 China)

机构地区：[1]南京市六合区人民医院妇产科,江苏南京211500

出　　处：《糖尿病新世界》2021年第10期40-43,共4页Diabetes New World Magazine

摘　　要：目的研究对妊娠期糖尿病产妇开展饮食与运动指导的效果。方法选择2018年1月—2020年12月92例妊娠期糖尿病产妇为研究对象,按照随机数表法将产妇分为对照组和观察组,对照组接受常规健康指导,观察组实施规范化饮食与运动指导,比较两组干预后血糖水平变化情况、妊娠结局。结果观察组干预后空腹血糖、餐后2 h血糖、糖化血红蛋白水平分别为(5.05±0.33)mmol/L、(9.04±0.68)mmol/L、(7.11±0.93)%,均低于对照组的(5.55±0.35)mmol/L、(9.78±0.71)mmol/L、(8.94±1.04)%,差异有统计学意义(t=7.050、5.105、8.896,P<0.05);观察组分娩前1周产妇空腹血糖达标率、餐后2 h血糖达标率分别为89.13%、84.78%,均高于对照组71.74%、65.22%,差异有统计学意义(χ^(2)=4.420、4.696,P<0.05);观察组产妇不良结局发生率为10.87%,胎儿不良结局发生率为6.52%,均低于对照组28.26%、23.91%,差异有统计学意义(χ^(2)=4.420、5.392,P<0.05)。结论对妊娠期糖尿病产妇积极开展饮食与运动指导能将血糖控制在有效水平,同时能减少母婴不良妊娠结局,提升妊娠质量。Objective To study the effect of diet and exercise guidance on women with gestational diabetes.Methods From January 2018 to December 2020,92 pregnant women with gestational diabetes were selected as the research objects.According to the random number table method,all the women were divided into control group and observation group.The control group received regular health guidance,and the observation group was implemented standardized diet and exercise guidance,and compared the changes in blood glucose levels and pregnancy outcomes between the two groups after intervention.Results The fasting blood glucose,2 h postprandial blood glucose and glycosylated hemoglobin levels of the observation group after intervention were(5.05±0.33)mmol/L,(9.04±0.68)mmol/L,and(7.11±0.93)%,respectively,which were lower than those of the control group(5.55±0.35)mmol/L,(9.78±0.71)mmol/L,(8.94±1.04)%,and the difference was statistically significant(t=7.050,5.105,8.896,P<0.05);the observing component's fasting blood glucose attainment rate and 2 h after meal of 1 week before delivery of the blood glucose compliance rate was 89.13%and 84.78%,which were higher than those of the control group 71.74% and 65.22%,and the difference was statistically significant(χ^(2)=4.420,4.696,P<0.05);the incidence of adverse maternal outcomes in the observation group was 10.87%,and adverse fetal outcomes occurrence rate was 6.52%,both lower than the control group 28.26%,23.91%,and the difference was statistically significant(χ^(2)=4.420,5.392,P<0.05).Conclusion Active diet and exercise guidance for women with gestational diabetes mellitus can control blood glucose at an effective level,reduce adverse pregnancy outcomes of mothers and babies,and improve pregnancy quality.It is worthy of promotion and implementation.

关 键 词：饮食指导 运动指导 妊娠期糖尿病 血糖水平 妊娠结局 

分 类 号：R246.3[医药卫生—针灸推拿学]