快步走联合弹力带上肢训练的孕期管理对妊娠期糖尿病孕妇的干预效果  

Intervention effect of fast walking combined with elastic band upper limb training in pregnancy management on pregnant women with gestational diabetes mellitus

作　　者：郭莉弘 郑美洁[2] 李伟[2] 孟琼 刘文秀 张明明[2] 李玉龙 马博东 李贤[2] GUO Lihong;ZHENG Meijie;LI Wei;MENG Qiong;LIU Wenxiu;ZHANG Mingming;LI Yulong;MABodong;LI Xian(Nursing and Rehabilitation School of North China University of Science and Technology,Tangshan 063000,China;Hebei Provincial People's Hospital,Shijiazhuang 050000,China)

机构地区：[1]华北理工大学护理与康复学院,河北省唐山市063000 [2]河北省人民医院,河北省石家庄市050000

出　　处：《护理实践与研究》2025年第4期552-560,共9页Nursing Practice and Research

基　　金：河北省医学科学研究重点课题(编号:20230002)。

摘　　要：目的探讨基于快步走联合弹力带上肢训练的孕期管理对妊娠期糖尿病(GDM)孕妇孕期血糖、产后血糖、体质量水平、自我管理能力及妊娠结局的影响。方法选取2022年8月—2023年9月河北省人民医院产科门诊收治的84例GDM孕妇作为研究对象,按照组间基本特征具有可比性的原则分为观察组41例和对照组43例,对照组进行常规GDM管理,观察组给予快步走联合弹力带上肢训练的孕期管理。比较两组干预前、干预2周、干预4周、干预8周及产后12周的空腹血糖、餐后2h血糖、体质量水平、自我管理能力及妊娠结局。结果双因素重复测量方差分析结果显示,两组孕妇干预前、干预后2周、干预4周、干预8周后空腹血糖水平呈逐渐下降趋势,时间之间比较差异有统计学意义(P_(时间)<0.05);观察组孕妇干预2周、4周、8周后空腹血糖水平低于对照组,组间比较差异有统计学意义(P_(组间)<0.05),且随着观察时间延长,干预2周、4周后组间差异逐渐增大,干预4周后组间差异最大,干预8周后差异减小,组间随时间变化的差异有统计学意义(P_(交互)<0.05)。两组孕妇干预前、干预2周、干预4周、干预8周后餐后2 h血糖水平呈逐渐下降趋势,时间之间比较差异有统计学意义(P_(时间)<0.05);观察组孕妇干预2周、4周、8周后餐后2 h血糖水平低于对照组,组间比较差异有统计学意义(P_(组间)<0.05),且随着观察时间延长,干预2周、4周后组间差异逐渐增大,干预4周后组间差异最大,干预8周后差异减小,差异有统计学意义(P_(交互)<0.05)。产后6~12周,观察组空腹血糖、餐后2 h血糖低于对照组,差异有统计学意义(P<0.05)。双因素重复测量方差分析结果显示,观察组孕妇干预前、干预2周、干预4周、干预8周后体质量水平呈逐渐下降趋势,对照组体质量水平逐渐升高,时间之间比较差异有统计学意义(P_(时间)<0.05);观察组孕妇干预2Objective To explore the eff ects of pregnancy management based on fast walking combined with elastic band upper limb training on gestational diabetes mellitus(GDM)pregnant women's pregnancy glucose,postpartum glucose,body mass level,self-management ability and pregnancy outcome.Methods Eighty-four cases of GDM pregnant women admitted to the obstetrics outpatient clinic of Hebei Provincial People's Hospital from August 2022 to September 2023 were selected as the study subjects,to divid into 41 cases in the observation group and 43 cases in the control group according to the principle of comparability of the basic characteristics between the groups,and the control group applied the routine management of GDM,the observation group was given the fast walking combined with upper limb training with elastic bands pregnancy management.Fasting blood glucose,2 h postprandial blood glucose,body mass level,self-management ability and pregnancy outcome were compared between the two groups before the intervention,2 weeks after the intervention,4 weeks after the intervention,8 weeks after the intervention and 12 weeks of postpartum.Results The results of dual factor repeated measures ANOVA showed that the fasting blood glucose levels of pregnant women in the two groups showed a gradual decline before intervention,2 weeks after intervention,4 weeks after intervention,and 8 weeks after intervention,and the difference between the time comparisons was statistically significant(P<0.05);the fasting blood glucose levels of pregnant women in the observation group were lower than those of the control group after 2,4,and 8 weeks of intervention,and the diff erence between the group comparisons was statistically signifi cant(P<0.05)and with the prolongation of observation time,the diff erence between the groups gradually increased after 2 and 4 weeks of intervention,the maximum difference between the groups after 4 weeks of intervention,and the diff erence decreased after 8 weeks of intervention,and the diff erence between the groups over

关 键 词：糖尿病 妊娠 有氧运动 抗阻训练 产后血糖 健康管理 

分 类 号：R473.71[医药卫生—护理学]