DOHaD理念指导下的饮食护理干预与运动疗法结合在妊娠期糖尿病患者中的应用效果  

Application Effect of Diet Nursing Intervention Combined with Exercise Therapy under the Guidance of DOHaD Concept in Patients with Gestational Diabetes Mellitus

作　　者：储冬泉 倪瑶 孙茉启 CHU Dongquan;NI Yao;SUN Moqi(Department of Obstetrics and Gynecology,Nanjing BenQ Medical Center,Nanjing 210000,Jiangsu,China)

机构地区：[1]南京明基医院妇产科,江苏南京210000

出　　处：《糖尿病新世界》2025年第3期121-123,127,共4页Diabetes New World

摘　　要：目的探讨健康与疾病的发育起源(developmental origins of health and disease,DOHaD)理念指导下的饮食护理干预与运动疗法结合在妊娠期糖尿病(gestational diabetes mellitus,GDM)患者中的应用效果。方法选取2022年2月-2024年2月在南京明基医院就诊的92例GDM患者,采用不同护理方法分为两组,每组46例。常规组采用常规护理,探究组额外采用DOHaD理念指导下的饮食护理干预与运动疗法。对比两组糖脂代谢水平及不良妊娠结局发生率。结果护理后,与常规组比较,探究组空腹血糖、餐后2 h血糖、糖化血红蛋白、总胆固醇、甘油三酯、低密度脂蛋白胆固醇水平更低,差异均有统计学意义(P均<0.05)。探究组不良妊娠结局发生率低于常规组,差异有统计学意义(P<0.05)。结论DOHaD理念指导下的饮食护理干预与运动疗法结合能够更有效地降低GDM患者的糖脂代谢水平及不良妊娠结局发生率。Objective To explore the application effect of diet nursing intervention combined with exercise therapy un-der the guidance of the concept of developmental origins of health and disease(DOHaD)in patients with gestational diabetes mellitus(GDM).Methods A total of 92 patients with GDM who were treated in Nanjing BenQ Medical Cen-ter from February 2022 to February 2024 were selected and divided into two groups by different nursing methods,with 46 cases in each group.The routine group was treated with routine nursing,and the exploration group was additionally treated with diet nursing intervention and exercise therapy under the guidance of DOHaD concept.The levels of glu-cose and lipid metabolism and the incidence of adverse pregnancy outcomes were compared between the two groups.Results After nursing,compared with the routine group,the levels of fasting plasma glucose,2-hour postprandial plasma glucose,glycated hemoglobin A1c,total cholesterol,triglyceride and low density lipoprotein cholesterol in the exploration group were lower,and the differences were statistically significant(all P<0.05).The incidence of adverse pregnancy outcomes in the exploration group was lower than that in the routine group,and the difference was statisti-cally significant(P<0.05).Conclusion The combination of diet nursing intervention and exercise therapy under the guidance of DOHaD concept can more effectively reduce the level of glucose and lipid metabolism and the incidence of adverse pregnancy outcomes in GDM patients.

关 键 词：DOHaD理念 饮食护理干预 运动疗法 妊娠期糖尿病 

分 类 号：R473.71[医药卫生—护理学]