摘要
目的探究妊娠期糖尿病孕妇运用个体化饮食指导结合运动疗法的效果。方法选取2021年4月—2022年9月于石狮市妇幼保健院收治的妊娠期糖尿病孕妇中抽取90例作为研究对象,随机分为两组,每组45例。对照组常规孕期保健疗法,基于此,观察组增加个体化饮食指导结合运动疗法,比较两组干预情况。结果分娩前1 d,观察组血糖指标水平较对照组低,差异有统计学意义(P<0.05)。干预后,针对两组孕妇不良结局、新生儿不良结局发生率进行对比,观察组均低于对照组,差异有统计学意义(P<0.05)。在干预前,两组依从性评分对比,差异无统计学意义(P>0.05);但在干预后6周、12周,观察组的依从性评分明显较对照组高,差异有统计学意义(P<0.05)。观察组体质量增加低于对照组,差异有统计学意义(P<0.05)。结论妊娠期糖尿病孕妇运用个体化饮食指导结合运动疗法,可减少不良妊娠结局发生率。
Objective To investigate the effect of using individualized dietary guidance combined with exercise therapy in pregnant women with gestational diabetes mellitus.Methods 90 pregnant women with gestational diabetes who were admitted to Shishi Maternal and Child Health Hospital from April 2021 to September 2022 were selected as research objects and randomly divided into two groups,with 45 cases each group.The control group received routine pregnancy health care therapy.Based on this,the observation group added personalized dietary guidance combined with exercise therapy,and compared the intervention situation between the two groups.Results One day before deliv-ery,the blood glucose levels of the observation group was lower than the control group,and the difference was statisti-cally significant(P<0.05).After intervention,the incidence of adverse outcomes in pregnant women and newborns be-tween the two groups was compared,and the observation group was lower than the control group,and the difference was statistically significant(P<0.05).Before intervention,there was no statistically significant difference in compli-ance scores of the two groups were compared(P>0.05);however,at 6 and 12 weeks after intervention,the compliance score of the observation group was significantly higher than that of the control group,and the difference was statisti-cally significant(P<0.05).The weight gain of of pregnant women of the observation group was lower than the control group,and the difference was statistically significant(P<0.05).Conclusion The use of individualized dietary guidance combined with exercise therapy in pregnant women with gestational diabetes can reduce the incidence of adverse preg-nancy outcomes.
作者
林玉婷
王艳华
陈金聪
LIN Yuting;WANG Yanhua;CHEN Jincong(Department of Obstetrics and Gynecology,Shishi Maternal and Child Health Hospital,Shishi,Fujian Province,)
出处
《糖尿病新世界》
2023年第9期36-39,共4页
Diabetes New World Magazine
关键词
妊娠期糖尿病
个体化饮食指导
运动疗法
血糖水平
自我护理能力
Gestational diabetes mellitus
Individualized dietary guidance
Exercise therapy
Blood glucose levels
Self-care ability
