综合营养管理模式联合有氧运动对妊娠期糖尿病孕妇血糖水平的影响  

Effect of integrated nutrition management model combined with aerobic exercise on blood glucose level in pregnant women with gestational diabetes mellitus

作　　者：陈钰 严丽 CHEN-Yu;YAN-Li(Department of Obstetrics,Yancheng First People's Hospital,Yancheng 224003,Jiangsu,China)

机构地区：[1]盐城市第一人民医院产科,江苏盐城224003

出　　处：《吉林医学》2025年第4期965-969,共5页Jilin Medical Journal

基　　金：江苏省妇幼健康科研项目[项目编号:F202006]。

摘　　要：目的:探究综合营养管理模式联合有氧运动对妊娠期糖尿病孕妇血糖水平的影响。方法:选取盐城市第一人民医院2021~2023年收治的100例妊娠期糖尿病孕妇为研究对象,随机分为对照组和研究组各50例,对照组采用综合营养管理模式进行干预,研究组采用综合营养管理模式联合有氧运动进行干预。评估两组血糖水平、血脂水平、妊娠焦虑情况、围产期并发症、妊娠结局。结果:干预前两组空腹血糖(FBG)、餐后2 h血糖(2 hPG)、糖化血红蛋白(HbA1c)差异无统计学意义(P>0.05);干预后研究组FBG、2 hPG、HbA1c低于对照组,差异有统计学意义(P<0.05)。干预前两组TC、TG、HDL、LDL差异无统计学意义(P>0.05);干预后研究组TC、TG、低密度脂蛋白胆固醇(LDL)低于对照组,高密度脂蛋白胆固醇(HDL)高于对照组,差异有统计学意义(P<0.05)。干预前两组患者担心胎儿健康、关注自我、担心分娩方面焦虑分值以及焦虑总分差异无统计学意义(P>0.05);干预后研究组担心胎儿健康、关注自我、担心分娩方面焦虑分值以及焦虑总分低于对照组,差异有统计学意义(P<0.05)。研究组围产期并发症总发生率低于对照组,不良妊娠结局发生率少于对照组,差异有统计学意义(P<0.05)。结论:综合营养管理模式联合有氧运动应用于妊娠期糖尿病孕妇效果较好,可降低患者血糖、血脂水平,减轻患者焦虑抑郁程度,减少患者围产期并发症与不良妊娠结局的发生情况。Objective To explore the effect of a comprehensive nutrition management model combined with aerobic exercise on blood glucose levels in pregnant women with gestational diabetes mellitus.Methods 100 pregnant women with gestational diabetes mellitus enrolled in our hospital from January 2021 to December 2023 were selected as the study objects and randomly divided into two groups(n=50).The control group received a comprehensive nutrition management intervention mode,and the study group received aerobic exercise intervention.Blood glucose level,blood lipid level,pregnancy anxiety,perinatal complications,and pregnancy outcome were evaluated in both groups.Results Before the intervention,there were no significant differences in Fasting blood glucose(FBG),2 h postprandial blood glucose(2 hPG),and Glycated hemoglobin(HbA1c)between the two groups(P>0.05).Following the intervention,the study group's FBG,2hPG,and HbA1c were lower than the control group's(P<0.05).Before the intervention,there were no significant differences in TC,TG,High density lipoprotein(HDL),and low density lipoprotein(LDL)between the two groups(P>0.05).After the intervention,TC,TG,and LDL in the study group were lower than those in the control group,while HDL was higher than that in the control group(P<0.05).Before the intervention,the two groups'scores on the anxiety scale for concern about fetal health,self-care,birthing,and overall anxiety did not differ significantly(P>0.05).After intervention,the anxiety scores of the study group were lower than those of the control group(P<0.05).The study group experienced fewer perinatal problems overall than the control group(P<0.05).The study group experienced fewer unfavorable pregnancy outcomes than the control group(P<0.05).Conclusions Using a combined comprehensive nutrition management approach and aerobic exercise in pregnant women with gestational diabetes has proven to be highly effective.This method can effectively lower blood glucose and lipid levels,alleviate symptoms of anxiety and depression,and dec

关 键 词：综合营养管理模式 有氧运动 妊娠期糖尿病 

分 类 号：R714.2[医药卫生—妇产科学]