基于运动饮食血糖控制对高龄产妇妊娠期糖尿病患者妊娠结局的影响及并发症分析  

Influence of Blood Glucose Control Based on Exercise Diet on Pregnancy Outcomes and Complications in Elderly Women with Gestational Diabetes Mellitus

作　　者：王海玲[1] 董娟 刘爱芹 刘淑芹 张涛[5] 王秀平 WANG Hailing;DONG Juan;LIU Aiqin;LIU Shuqin;ZHANG Tao;WANG Xiuping(Department of Critical Care Medicine,Shouguang People's Hospital,Shouguang,Shandong Province,262700 China;Department of General Surgery,Shouguang Hospital of T.C.M,Shouguang,Shandong Province,262700 China;Department of OrthopedicsⅡ,Shouguang Hospital of T.C.M,Shouguang,Shandong Province,262700 China;Department of Laboratory,Shouguang Hospital of T.C.M,Shouguang,Shandong Province,262700 China;Department of Obstetrics,Shouguang People's Hospital,Shouguang,Shandong Province,262700 China)

机构地区：[1]山东寿光市人民医院重症医学科,山东寿光262700 [2]山东寿光市中医医院普外科,山东寿光262700 [3]山东寿光市中医医院骨伤二科,山东寿光262700 [4]山东寿光市中医医院检验科,山东寿光262700 [5]山东寿光市人民医院产科,山东寿光262700

出　　处：《糖尿病新世界》2024年第4期13-15,24,共4页Diabetes New World Magazine

基　　金：潍坊市卫生健康委员会基金项目(WFWSJK-2023-213)。

摘　　要：目的评价基于运动饮食血糖控制在高龄产妇妊娠期糖尿病患者中的应用效果。方法选择2019年1月—2022年6月山东省寿光市人民医院收治的140例高龄产妇妊娠期糖尿病患者为研究对象,按随机数表法分成两组(对照组和观察组),对照组70例接受常规孕期保健,观察组70例在对照组基础上接受运动饮食指导,比较两组的血糖水平、不良妊娠结局、新生儿不良结局。结果观察组空腹血糖、餐后2 h血糖、糖化血红蛋白、不良妊娠结局总发生率、新生儿不良结局总发生率均低于对照组,差异有统计学意义(P均<0.05)。结论在高龄产妇妊娠期糖尿病患者中,基于运动饮食血糖控制可有效降低患者血糖水平,且可改善患者妊娠结局以及新生儿结局。Objective To evaluate the application effect of exercise diet based blood glucose control in elderly pregnant women with diabetes.Methods A total of 140 elderly pregnant women with diabetes in pregnancy who were ad⁃mitted to Shouguang People's Hospital of Shandong Province from January 2019 to June 2022 were selected as the study objects.Random number table method was used to divide into two groups(control group and observation group).The control group consisted of seventy cases who received routine prenatal care,while the observation group consisted of seventy cases who received exercise diet guidance on the basis of the control group.The blood glucose levels,ad⁃verse pregnancy outcomes,and neonatal adverse outcomes between two groups were compared.Results The observa⁃tion group had lower fasting blood glucose,2-hour postprandial blood glucose,glycated hemoglobin,total incidence of adverse pregnancy outcomes,and total incidence of neonatal adverse outcomes compared to the control group,and the differences were statistically significant(all P<0.05).Conclusion In the elderly pregnant women with diabetes during pregnancy,exercise diet based blood glucose control can effectively reduce the blood glucose level of patients,and can improve the pregnancy outcome and neonatal outcome of patients.

关 键 词：高龄产妇 妊娠期糖尿病 运动指导 饮食指导 并发症 妊娠结局 

分 类 号：R587[医药卫生—内分泌]