运动疗法对妊娠糖尿病血糖的作用研究  

Study on the Effect of Exercise Therapy on Blood Glucose in Gestational Diabetes

作　　者：李珠娜 李丕宇 刘璐 LI Zhu'na;LI Piyu;LIU Lu(Department of Obstetrics,Shenzhen Hospital,University of Chinese Academy of Sciences,Shenzhen,Guangdong Prov-ince,518110 China)

机构地区：[1]中国科学院大学深圳医院(光明)西院区产一科,广东深圳518110

出　　处：《糖尿病新世界》2023年第9期156-158,共3页Diabetes New World Magazine

摘　　要：目的探讨运动疗法对妊娠糖尿病血糖的作用。方法选取2021年1—9月中国科学院大学深圳医院产科收治的70例妊娠糖尿病患者为研究对象,依据随机数表法分为对照组和观察组,各35例。对照组采取常规模式护理,观察组采取常规护理+运动疗法。对比两组血糖水平、不良妊娠结局、心理状况评分。结果护理后,观察组空腹血糖和餐后2 h血糖水平均优于对照组,差异有统计学意义(P<0.05)。两组产后出血和新生儿窒息发生率比较,差异无统计学意义(P>0.05);观察组胎膜早破和巨大儿发生率明显低于对照组,差异有统计学意义(P<0.05)。护理后,观察组SAS和SDS评分均低于对照组,差异有统计学意义(P<0.05)。结论妊娠糖尿病在常规治疗和护理的基础上接受运动疗法治疗,治疗和护理效果较为理想,有利于改善患者的不良情绪问题,降低不良妊娠结局发生率。Objective To explore the effects of exercise therapy on blood glucose in gestational diabetes.Methods A total of 70 patients with gestational diabetes admitted to the Department of Obstetrics of Shenzhen Hospital of the Uni-versity of Chinese Academy of Sciences from January to September 2021 were enrolled as research subjects,and 35 cases were divided into control group and observation group according to the random number table method.The con-trol group was treated with usual mode nursing,and the observation group was treated with usual care+exercise therapy.Blood glucose levels,adverse pregnancy outcomes,and psychological status scores were compared between the two groups.Results After nursing,the fasting blood glucose and 2 h postprandial blood glucose levels in the obser-vation group were better than those in the control group,and the differences were statistically significant(P<0.05).The incidence of postpartum hemorrhage and neonatal asphyxia was not statistically significantly different between the two groups(P>0.05).The incidence of premature rupture of membranes and macrosomia in the observation group was sig-nificantly lower than that in the control group,and the difference was statistically significant(P<0.05).After nursing,the SAS and SDS scores in the observation group were lower than those in the control group,and the difference was statistically significant(P<0.05).Conclusion Gestational diabetes mellitus is treated with exercise therapy on the ba-sis of conventional treatment and nursing,and the treatment and nursing effect is ideal,which is conducive to improv-ing patients'adverse emotional problems and reducing the incidence of adverse pregnancy outcomes.

关 键 词：运动疗法 妊娠糖尿病 血糖 心理评分 

分 类 号：R59[医药卫生—内科学]