低糖膳食联合等长抗阻锻炼对妊娠期糖尿病疗效及妊娠结局效果  

Effects of low sugar diet combined with isometric resistance exercise during the treatment of pregnant women with gestational diabetes mellitus and their pregnancy outcomes

作　　者：张秀丽[1] 李战娜 吴淑芬[1] ZHANG Xiuli;LI Zhanna;WU Shufen(The Second Affiliated Hospital of Luohe Medical College,Shandong Province,462000)

机构地区：[1]漯河医学高等专科学校第二附属医院,462000

出　　处：《中国计划生育学杂志》2022年第7期1551-1554,共4页Chinese Journal of Family Planning

基　　金：漯河医学高等专科学校2020年度创新创业发展能力提升工程项目(2020-LYZKYYB039)。

摘　　要：目的:探讨低糖膳食联合等长抗阻锻炼对妊娠期糖尿病疗效及妊娠结局影响.方法:选取本院2019年3月-2020年9月收治的82例妊娠期糖尿病患者,根据患者意愿分组且基本临床资料匹配,其中对照组40例采用常规治疗,观察组42例采用常规治疗联合低糖膳食及等长抗阻锻炼,比较两组临床疗效.结果:治疗后两组血糖控制水平均降低但观察组空腹血糖(5.20±0.38 mmol/L)、餐后2h血糖(6.49±0.35 mmol/L)及糖化血红蛋白(5.34%±0.53%)均低于对照组(5.63±0.41mmol/L、6.96±0.39mmol/L、5.83%±0.49%),脐动脉血流动力学指标较对照组改善明显,不良妊娠结局发生率(4.8%)低于对照组(27.5%)(均P<0.05);产后两组体质量及体质指数改变无差异(P>0.05).结论:低糖膳食联合长抗阻锻炼可明显改善妊娠期糖尿病患者血糖水平,促进脐动脉血流动力学指标恢复,改善妊娠结局.Objective: To investigate the effects of low sugar diet combined with isometric resistance exercise during the treatment of pregnant women with gestational diabetes mellitus(GDM) and pregnancy outcomes. Methods: 82 pregnant women with GDM were selected and were divided in two groups according to their wishes and the matched of their basic clinical data from March 2019 to September 2020. 40 women in the control group had received conventional treatment, while 42 women in the study group had received conventional treatment combined with low sugar diet and long-term resistance exercise. The clinical effects of the women were compared between the two groups. Results: The blood glucose control level of the women in both groups after treatment had decreased significantly, but the fasting blood glucose level(5.20±0.38 mmol/L), the postprandial 2 h blood glucose level(6.49±0.35 mmol/L), and the glycosylated hemoglobin level(5.34%±0.53%) of the women in the study group were significantly lower than those(5.63±0.41 mmol/L, 6.96±0.39 mmol/L, and 5.83%±0.49%) of the women in the control group. The improvement of hemodynamic indexes of umbilical artery of the women in the study group was significantly higher than those of the women in the control group. The incidence of adverse pregnancy outcomes(4.8%) of the women in the study group was significantly lower than that(27.5%) of the women in the control group(all P<0.05). There were no significant differences in the values of body weight and body mass index of the women after delivery between the two groups(P>0.05). Conclusion: Low sugar diet combined with long-term resistance exercise of pregnant women with GDM can significantly improve their blood glucose level, and can promote the recovery of their umbilical artery hemodynamics, and can improve their pregnancy outcomes.

关 键 词：妊娠期糖尿病 低糖膳食 等长抗阻锻炼 疗效 妊娠结局 

分 类 号：R714.256[医药卫生—妇产科学]