摘要
目的 探讨个体化热卡定量指导联合运动干预对妊娠期糖尿病合并妊高症孕妇母子结局及临床疗效的影响研究。方法 选择2020年3月至2021年12月在南阳市中心医院开展产检的妊娠期糖尿病合并妊高症孕妇共82例作为研究对象,经伦理委员会批准后采用随机排列法分为对照组(N=41)和研究组(N=41),对照组入院后接受常规医疗干预,研究组在对照组的治疗基础上额外开展个体化热卡定量指导联合运动干预,由专人收集两组干预前后血糖、血压指标水平,并比较两组分娩方式及母婴结局、满意度。结果 研究组干预前血糖指标水平与对照组相比,差异无统计学意义(P>0.05),研究组干预后空腹血糖、餐后2 h血糖、糖化血红蛋白指标水平均低于对照组,差异有统计学意义(P <0.05);两组干预前收缩压和舒张压比较,差异无统计学意义(P> 0.05);干预后,两组收缩压和舒张压均低于本组干预前,且研究组干预后收缩压和舒张压较对照组更低,差异有统计学意义(P <0.05);相较于对照组,研究组选择且适合行阴道分娩的人数占比更高,组间差异有统计学意义(P <0.05);研究组孕妇及新生儿不良结局发生率低于对照组,差异有统计学意义(P <0.05);研究组对产妇服务工作的满意度优于对照组,差异有统计学意义(P <0.05)。结论 开展个体化热卡定量指导联合运动干预可有效控制妊娠期糖尿病合并妊高症孕妇的血糖及血压水平,降低母婴并发症,进而改善母子结局,临床干预效果显著。
Objective To explore the effect of individualized caloric quantitative guidance combined with exercise intervention on maternal and child outcomes and clinical efficacy of pregnant women with gestational diabetes mellitus complicated with pregnancy-induced hypertension.Methods A total of 82 pregnant women with gestational diabetes mellitus combined with pregnancy-induced hypertension who underwent a prenatal examination in Nanyang Central Hospital from March 2020 to December 2021 were selected as the research objects.After the approval of the ethics committee,they were randomly divided into a control group(N=41)and a study group(N=41).Based on the treatment of the control group,the study group carried out individualized caloric quantitative guidance combined with exercise intervention.The blood glucose and blood pressure index levels of the two groups before and after intervention were collected by special personnel,and the delivery mode,maternal and infant outcomes,and satisfaction were compared between the two groups.Results There was no statistically significant difference in the blood glucose index levels between the study group and the control group before intervention(P > 0.05). After the intervention, the fasting blood glucose, 2 h postprandial blood glucose, and glycosylated hemoglobin index levels in the study group were lower than those in the control group, and the differences were statistically significant (P < 0.05). There was no significant difference in systolic and diastolic blood pressure between the two groups before intervention (P > 0.05). After the intervention, the systolic blood pressure and diastolic blood pressure of the two groups were lower than before the intervention, and the systolic blood pressure and diastolic blood pressure of the study group were lower than that of the control group after the intervention, the difference was statistically significant (P < 0.05). Compared with the control group, the number of people in the study group who were suitable for vaginal delivery account
作者
张冉
王菊
王丽军
ZHANG Ran;WANG Ju;WANG Lijun(Department of Obstetrics,Nanyang Central Hospital,Nanyang Henan 473000,China)
出处
《临床研究》
2022年第12期164-167,共4页
Clinical Research
关键词
个体化热卡定量
综合干预
妊娠期糖尿病
妊高症
母子结局
individualized calorie quantification
comprehensive intervention
gestational diabetes mellitus
pregnancy-induced hypertension
maternal and infant outcomes
