摘要
目的 探讨个体化运动疗法对妊娠期糖尿病(gestational diabetes mellitus,GDM)患者妊娠结局的影响,以及对血糖水平的改变。方法 选取2019年12月—2021年12月在潮州市人民医院产检的496例妊娠期糖尿病患者作为研究对象,随机编号并采用单双号分组法分为试验组和对照组。接受个体化运动疗法干预以及膳食指导的246例患者纳入试验组,仅接受膳食指导的250例患者纳入对照组。对两组患者在干预前后的血糖水平变化及其妊娠结局情况进行比较分析。结果 接受不同方案干预后,两组患者空腹血糖及餐后2 h血糖水平均较干预前有所下降;试验组患者的空腹血糖及餐后2 h血糖低于对照组患者;试验组孕妇的剖宫产率低于对照组患者,新生儿入住新生儿重症监护病房(neonatal intensive care unit,NICU)率亦低于对照组患者,差异均有统计学意义(P <0.05)。结论 个体化运动方案不仅有利于提升妊娠期糖尿病患者依从性,还能够控制其血糖水平,从而降低了不良的妊娠结局,有利于母胎健康。文章的研究结果为GDM患者血糖控制标准的制定提供了借鉴内容。
Objective To investigate the effect of individualized exercise therapy on blood glucose control in patients with gestational diabetes mellitus.Methods A total of 496 patients with gestational diabetes mellitus who received prenatal examination in Chaozhou People’s Hospital from December2019 to December 2021 were selected as subjects,and they were randomly numbered and divided into experimental group and control group by odd-even grouping method.A total of 246 patients receiving individualized exercise therapy intervention and dietary guidance were included in the experimental group,and 250 patients receiving only dietary guidance were included in the control group.The changes of blood glucose level and pregnancy outcome of the two groups before and after intervention were compared and analyzed.Results After receiving different protocols,the fasting blood glucose and 2 h postprandial blood glucose levels of both groups decreased compared with those before the intervention;the fasting blood glucose and 2 h postprandial blood glucose of patients in the experimental group were lower than those of patients in the control group;the cesarean delivery rate of pregnant women in the experimental group was lower than that of patients in the control group,and the neonatal intensive care unit(NICU) admission rate of newborns was also lower than that of patients in the control group.The rate of cesarean delivery in the experimental group was lower than that in the control group,and the rate of neonatal intensive care unit admission was lower than that in the control group,the differences were statistically significant(P <0.05).Conclusion The individualized exercise program not only helps to improve the compliance of patients with gestational diabetes mellitus,but also controls their blood glucose levels,thus reducing adverse pregnancy outcomes and benefiting maternal and fetal health.The findings of the article provide informative content for the development of glycemic control standards in patients with gestational diabetes
作者
林若筠
杨依依
翁桦
LIN Ruojun;YANG Yiyi;WENG Hua(Department of Obstetrics,Chaozhou People’s Hospital,Chaozhou Guangdong 521000,China)
出处
《中国卫生标准管理》
2022年第19期24-28,共5页
China Health Standard Management
关键词
运动疗法
个体化
妊娠结局
妊娠期糖尿病
血糖
二级预防
exercise therapy
individualization
pregnancy outcome
gestational diabetes mellitus
blood glucose
secondary prevention
