摘要
目的 探究个体化营养干预联合有氧-抗阻运动对妊娠期糖尿病(GDM)孕产妇血糖及体重控制的影响。方法 选择2022年1月至2023年10月将乐县白莲镇卫生院收治的GDM患者78例,按随机数字表法分为对照组和观察组,两组各39例。对照组予以常规护理干预,观察组予以个体化营养干预联合有氧-抗阻运动,两组干预均持续至分娩结束。对比两组干预前后的血糖水平、体重控制、血脂水平及不良妊娠结局。结果 干预后,观察组餐后2 h血糖、空腹血糖、糖化血红蛋白较对照组低(P<0.05);观察组孕期总增重低于对照组(P<0.05);观察组甘油三酯、总胆固醇低于对照组(P<0.05);观察组不良妊娠结局发生率低于对照组(P<0.05)。结论 个体化营养干预与有氧-抗阻运动能够促进GDM患者的血糖水平及血脂水平恢复平稳,帮助患者更好地控制孕期增重,且有利于降低不良妊娠结局发生率。
Objective To investigate the effects of individualized nutritional intervention combined with aerobic-resistance exercise on maternal blood glucose and weight control in gestational diabetes mellitus(GDM).Methods A total of 78 cases of GDM patients admitted to Bailian Town Health Center of Jiangle County from January 2022 to October 2023 were selected and divided into the control group and observation group according to the randomized table method,with 39 cases in each group.The control group was given routine nursing interventions,and the observation group was given individualized nutritional interventions combined with aerobic-resistance exercise,and the interventions in both groups lasted until the end of delivery.Blood glucose level,weight control,blood lipid level and adverse pregnancy outcomes were compared between the two groups before and after the intervention.Results After the intervention,the observation group had lower postprandial 2 h blood glucose,fasting blood glucose,and glycosylated hemoglobin than the control group(P<0.05);the observation group had lower total weight gain during pregnancy than the control group(P<0.05);the observation group had lower triglycerides and total cholesterol than the control group(P<0.05);and the incidence rate of adverse pregnancy outcomes was lower in the observation group than the control group(P<0.05).Conclusions Individualized nutritional intervention and aerobic-resistance exercise can promote the restoration of stable blood glucose and lipid levels in patients with GDM,help patients better control pregnancy weight gain,and help reduce the incidence of adverse pregnancy outcomes.
作者
潘丽红
PAN Lihong(Department of Obstetrics,Bailian Town Health Hospital,Jiangle County,Sanming 353300,China)
出处
《中国医药指南》
2024年第16期120-122,共3页
Guide of China Medicine
关键词
妊娠期糖尿病
个体化营养干预
有氧-抗阻运动
血糖
体重控制
不良妊娠结局
Gestational diabetes mellitus
Individualized nutritional intervention
Aerobic-resistance exercise
Blood glucose
Weight control
Adverse pregnancy outcome
