抗阻力运动对存在黎明现象的妊娠期糖尿病患者血糖波动及妊娠结局的影响  

Effect of Resistance Exercise on Blood Glucose Fluctuation and Pregnancy Outcome in Patients with Gestational Diabetes Mellitus with Dawn Phenomenon

作　　者：方福珍[1] FANG Fuzhen(Department of Obstetrics and Gynecology,the Affiliated Hospital of Putian University,Putian 351100,Fujian,China)

机构地区：[1]福建省莆田市莆田学院附属医院妇产科,福建莆田351100

出　　处：《糖尿病新世界》2024年第17期50-52,60,共4页Diabetes New World

摘　　要：目的探讨抗阻力运动在合并黎明现象的妊娠期糖尿病(gestational diabetes mellitus,GDM)患者的血糖水平及妊娠结局中的作用。方法选取2021年1月—2022年6月于莆田学院附属医院接受治疗并经动态血糖监测确定存在黎明现象的40例GDM患者为研究对象,按不同的治疗方法分为对照组和观察组,每组20例。对照组参照相关指南接受常规的降糖治疗,而观察组在常规降糖治疗的基础上进行抗阻力运动干预。比较两组血糖指标、空腹胰岛素、血糖变异系数、胰岛素使用量以及不良妊娠结局发生率。结果治疗后,两组空腹胰岛素、空腹血糖、餐后2 h血糖、血糖变异系数、糖化血红蛋白、胰岛素使用量均降低,且观察组低于对照组,差异有统计学意义(P均<0.05)。观察组不良妊娠结局发生率低于对照组,差异有统计学意义(P<0.05)。结论抗阻力运动可以有效减少GDM患者的血糖波动和胰岛素使用量,并改善妊娠结局。Objective To investigate the effect of resistance exercise on blood glucose level and pregnancy outcome in gestational diabetes mellitus(GDM)patients with dawn phenomenon.Methods Forty patients with GDM who were treated in the Affiliated Hospital of Putian University from January 2021 to June 2022 and confirmed to have dawn phenomenon by continuous glucose monitoring were selected as the research objects.According to different treatment methods,they were divided into control group and observation group,with 20 cases in each group.The control group received conventional hypoglycemic therapy according to the relevant guidelines,while the observation group received resistance exercise intervention on the basis of conventional hypoglycemic therapy.The blood glucose indexes,fasting insulin,glycemic variability,insulin dosage and incidence of adverse pregnancy outcomes were compared between the two groups.Results After treatment,the fasting insulin,fasting plasma glucose,2-hour postprandial plasma glucose,glycemic variability,glycated hemoglobin A1c and insulin dosage in the two groups decreased,and those in the observation group were lower than the control group,the differences were statistically significant(all P<0.05).The 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 Resistance exercise can effectively reduce blood glucose fluctuations and insulin dosage in GDM patients,and improve pregnancy outcomes.

关 键 词：妊娠期糖尿病 抗阻力运动 黎明现象 妊娠结局 血糖波动 

分 类 号：R714.25[医药卫生—妇产科学]