抗阻运动联合个体化营养治疗妊娠期糖尿病患者的效果分析  

Effect Analysis of Resistance Exercise Combined with Individualized Nutri⁃tion in the Treatment of Gestational Diabetes Mellitus

作　　者：林敏慧 林伟娟 梁小红 LIN Minhui;LIN Weijuan;LIANG Xiaohong(Department of Obstetrics and Gynecology,the Maternal and Child Health Hospital of Shaowu City,Shaowu 354000,Fujian,China)

机构地区：[1]邵武市妇幼保健院妇产科,福建邵武354000

出　　处：《糖尿病新世界》2024年第12期24-27,共4页Diabetes New World

摘　　要：目的分析抗阻运动联合个体化营养治疗妊娠期糖尿病(gestational diabetes mellitus,GDM)患者的效果。方法选取2022年1月—2023年12月邵武市妇幼保健院诊治的68例GDM患者为研究对象,按治疗方法不同分为常规组和联合组,各34例。常规组给予个体化营养治疗,联合组在个体化营养治疗基础上加用抗阻运动治疗。比较两组临床疗效、不良妊娠结局发生率、血糖水平(空腹血糖、餐后2 h血糖、糖化血红蛋白、糖化白蛋白)、血脂代谢指标(甘油三酯、总胆固醇)。结果与常规组相比,联合组治疗总有效率更高,差异有统计学意义(P<0.05)。治疗2个月后,两组空腹血糖、餐后2 h血糖、糖化血红蛋白、糖化白蛋白水平均有所降低,联合组降低幅度更大,差异有统计学意义(P均<0.05)。治疗2个月后,两组甘油三酯、总胆固醇水平均有所降低,联合组降低幅度更大,差异有统计学意义(P均<0.05)。与常规组相比,联合组新生儿不良结局和产妇不良妊娠结局发生率更低,差异有统计学意义(P均<0.05)。结论GDM患者应用抗阻运动联合个体化营养治疗效果明显,可显著降低其血糖水平、血脂代谢指标,改善妊娠结局。Objective To analyze the effect of resistance exercise combined with individualized nutrition on gesta-tional diabetes mellitus(GDM).Methods A total of GDM 68 patients diagnosed and treated in the Maternal and Child Health Hospital of Shaowu City from January 2022 to December 2023 were selected as the study objects and divided into conventional group and combined group according to different treatment methods,with 34 cases each.The conven-tional group was given individualized nutrition therapy,and the combined group was given resistance exercise therapy on the basis of individualized nutrition therapy.The clinical efficacy,incidence of adverse pregnancy outcome,blood glucose level(fasting blood glucose,2-hour postprandial glucose,glycated hemoglobin A1c,glycated albumin),lipid metabolism index(triglyceride,total cholesterol)of the two groups were compared.Results Compared with the conven-tional group,the total effective rate of treatment in the combined group was higher,and the difference was statistically significant(P<0.05).After 2 months of treatment,the levels of fasting blood glucose,2-hour postprandial blood glu-cose,glycated hemoglobin A1c,and glycated albumin in two groups were reduced,and the reduction was greater in the combined group,and the differences were statistically significant(all P<0.05).After 2 months of treatment,the lev-els of triglyceride and total cholesterol were decreased in both groups,and the reduction range was greater in the com-bined group,and the differences were statistically significant(both P<0.05).Compared with the conventional group,the incidence of neonatal adverse outcomes and maternal adverse pregnancy outcomes in the combined group were lower,and the differences were statistically significant(both P<0.05).Conclusion The effect of resistance exercise combined with individualized nutrition treatment in GDM patients was obvious,which significantly reduced the blood glucose level and lipid metabolism indexes,and improved the pregnancy outcome.

关 键 词：抗阻运动 个体化营养 妊娠期糖尿病 妊娠结局 

分 类 号：R4[医药卫生—临床医学]