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作 者:左守霞 于晓敏 冯莉 ZUO Shouxia;YU Xiaomin;FENG Li(Department of Obstetrics,Qingzhou Maternal and Child Health Hospital,Shandong Province,Weifang,Shandong Province,262500 China;Department of Obstetrics,Qingzhou People's Hospital,Shandong Province,Weifang,Shandong Province,262500 China)
机构地区:[1]山东省青州市妇幼保健院产科,山东潍坊262500 [2]山东省青州市人民医院产科,山东潍坊262500
出 处:《糖尿病新世界》2023年第18期48-50,54,共4页Diabetes New World Magazine
摘 要:目的探究对妊娠期糖尿病患者施以个体化饮食控制联合运动疗法的效果。方法选取2020年4月—2023年4月山东省青州市妇幼保健院产科收治的132例妊娠期糖尿病患者为研究对象,用盲选抽签法完成分组,对照组(66例)施以常规治疗,观察组(66例)施以个体化饮食控制结合运动疗法,观察和比较治疗前后组间血糖水平、体质量指标、血脂水平、不良妊娠结局与新生儿不良结局。结果治疗后,观察组血糖水平均低于对照组,差异有统计学意义(P<0.05)。观察组体质量指标均低于对照组,差异有统计学意义(P<0.05)。治疗后,观察组血脂水平均低于对照组,差异有统计学意义(P<0.05)。观察组产妇不良妊娠结局与新生儿不良结局发生率低于对照组,差异有统计学意义(P<0.05)。结论为妊娠期糖尿病患者联合实施运动疗法与个体化饮食控制的效果显著,可改善其血糖水平,提高体质量、血脂水平控制有效性,降低不良妊娠结局发生率,有较高临床应用价值。Objective To explore the effect of individualized diet control combined with exercise therapy in patients with gestational diabetes.Methods 132 pregnant women with diabetes who were admitted to Qingzhou Maternal and Child Health Hospital of Shandong Province from April 2020 to April 2023 were selected as the research objects.The grouping treatment was completed by blind selection and lot drawing,and the control group(66 cases)was given conventional treatment,the observation group(66 cases)was given individualized diet control combined with exercise therapy,observed and compared the blood glucose level,body mass index,blood lipid level of before and after treatment adverse pregnancy outcomes and adverse outcomes in newborns.Results After treatment,the average blood glucose level in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).The body mass indicators of the observation group were lower than those of the control group,and the difference was statistically significant(P<0.05).After treatment,the blood lipid levels in the observation group were lower than those in the control group,and the difference was statistically significant(P<0.05).The incidence of adverse pregnancy outcomes and adverse outcomes in newborns in the observation group were lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion The combined implementation of exercise therapy and individualized diet control for patients with gestational diabetes has a significant effect,which can improve their blood glucose levels,increase the effectiveness of body weight and blood lipid level control,and reduce the incidence of adverse pregnancy outcomes.It has high clinical application value.
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