妊娠期糖尿病患者抗阻运动联合个体化营养治疗的效果分析  

Effect Analysis of Resistance Exercise Combined with Individualized Nutri⁃tion Therapy in Patients with Gestational Diabetes Mellitus

作　　者：何旖玲 朱建芬 王明玉 吕冰峰 HE Yiling;ZHU Jianfen;WANG Mingyu;LYU Bingfeng(Department of Obstetrics and Gynecology,Zhangjiagang Second People's Hospital,Zhangjiagang 215600,Jiangsu,China)

机构地区：[1]张家港市第二人民医院妇产科,江苏张家港215600

出　　处：《糖尿病新世界》2024年第22期34-37,共4页Diabetes New World

摘　　要：目的 研究妊娠期糖尿病患者抗阻运动联合个体化营养治疗的效果。方法 选取2022年4月—2024年3月张家港市第二人民医院收治的72例妊娠期糖尿病患者,按治疗方法不同分为两组,各36例,均进行常规治疗,对照组实施个体化营养治疗,干预组在对照组基础上联合抗阻运动治疗,比较两组血糖指标、不良妊娠结局发生率及治疗相关指标。结果 治疗后,干预组空腹血糖、餐后2 h血糖水平均低于对照组,差异均有统计学意义(P均<0.05)。干预组不良妊娠结局发生率低于对照组,差异均有统计学意义(P均<0.05)。干预组血糖达标时间短于对照组,日胰岛素总量低于对照组,差异均有统计学意义(P均<0.05)。结论 个体化营养治疗+抗阻运动的应用可改善妊娠期糖尿病患者的血糖水平以及妊娠的结局。Objective To study the effect of resistance exercise therapy combined with individualized nutrition in pa-tients with gestational diabetes mellitus.Methods A total of 72 patients with gestational diabetes mellitus admitted to Zhangjiagang Second People's Hospital from April 2022 to March 2024 were selected and divided into two groups ac-cording to different treatment methods,with 36 cases in each group.All patients were treated with routine treatment.The control group was treated with individualized nutrition therapy,and the intervention group was treated with resis-tance exercise on the basis of the control group.The blood glucose indexes,incidence of adverse pregnancy outcomes and treatment-related indicators were compared between the two groups.Results After treatment,the fasting plasma glucose and 2-hour postprandial plasma glucose levels in the intervention group were less than those in the control group,and the differences were statistically significant(both P<0.05).The incidence of adverse pregnancy outcomes in the intervention group was less than that in the control group,and the differences were statistically significant(all P<0.05).The time of blood glucose reaching the standard in the intervention group was taller than that in the control group,and the total daily insulin was less than that in the control group,the differences were statistically significant(both P<0.05).Conclusion Individualized nutrition therapy+resistance exercise can improve blood glucose level and pregnancy outcome in the treatment of gestational diabetes mellitus.

关 键 词：妊娠期糖尿病 个体化营养治疗 抗阻运动 妊娠结局 

分 类 号：R714[医药卫生—妇产科学]