有氧运动联合营养干预对妊娠糖尿病患者血糖血脂的影响  

Effect of aerobic exercise combined with nutritional intervention on blood glucose and blood lipid in patients with gestational diabetes mellitus

作　　者：孙玮萱 彭茜 彭任忠 冷颖 李娟 SUN Weixuan;PENG Qian;PENG Renzhong;LENG Ying;LI Juan(Department of Obstetrics and Gynecology,Yichun Maternal and Child Health Hospital,Jiangxi Province,Yichun336000,China)

机构地区：[1]江西省宜春市妇幼保健院妇产科,江西宜春336000

出　　处：《中国当代医药》2024年第6期58-61,共4页China Modern Medicine

基　　金：江西省卫生健康委科技计划项目(202212633);江西省宜春市指导性科技计划项目(2022ZDJH6166)。

摘　　要：目的探讨有氧运动联合营养干预对妊娠糖尿病(GDM)患者血糖血脂水平的影响。方法选取2022年1月至2023年1月宜春市妇幼保健院妇产科收治的66例GDM患者作为研究对象,采用随机数字表法将其分为对照组和观察组,各33例。对照组采用常规门诊健康教育,观察组采用有氧运动联合营养干预。比较两组的血糖、血脂水平、围生期并发症及不良妊娠结局。结果观察组干预后的空腹血糖(FBG)、餐后2 h血糖(2 h PG)、糖化血红蛋白(HbA1c)水平低于对照组,差异有统计学意义(P<0.05);观察组干预后的血清总胆固醇(TC)、三酰甘油(TG)、低密度脂蛋白(LDL)水平低于对照组,高密度脂蛋白(HDL)水平高于对照组,差异有统计学意义(P<0.05);观察组的围生期并发症总发生率低于对照组,差异有统计学意义(P<0.05);观察组的不良妊娠结局总发生率低于对照组,差异有统计学意义(P<0.05)。结论对GDM患者实施有氧运动联合营养干预效果理想,能够降低GDM患者血糖及血脂水平,减少围生期并发症及不良妊娠结局的发生。Objective To explore the effect of aerobic exercise combined with nutritional intervention on blood glucose and lipid levels in patients with gestational diabetes mellitus(GDM).Methods A total of 66 patients with GDM admitted to the Department of Obstetrics and Gynecology,Yichun Maternal and Child Health Hospital from January 2022 to January 2023 were selected as the research objects,and they were divided into control group and observation group by random number table method,with 33 cases in each group.The control group was given routine outpatient health education,and the observation group was given aerobic exercise combined with nutritional intervention.The blood glucose,blood lipid levels,perinatal complications and adverse pregnancy outcomes were compared between the two groups.Results The levels of fasting blood glucose(FBG),2-hour postprandial plasma glucose(2 h PG)and glycosylated hemoglobin(HbA1c)in the observation group after intervention were lower than those in the control group,and the differences were statistically significant(P<0.05).The levels of serum total cholesterol(TC),triglyceride(TG)and low-density lipoprotein(LDL)in the observation group after intervention were lower than those in the control group,and the level of high-density lipoprotein(HDL)was higher than that in the control group,and the differences were statistically significant(P<0.05).The total incidence of perinatal complications in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).The total incidence of adverse pregnancy outcomes in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Aerobic exercise combined with nutritional intervention for GDM patients has an ideal effect,which can reduce the blood glucose and blood lipid levels of GDM patients,and reduce the incidence of perinatal complications and adverse pregnancy outcomes.

关 键 词：妊娠糖尿病 有氧运动 营养干预 血糖 血脂 围生期并发症 不良妊娠结局 

分 类 号：R714.25[医药卫生—妇产科学]