摘要
目的观察运动联合饮食疗法对妊娠期糖尿病(GDM)患者血糖控制、血脂水平及不良妊娠结局的效果。方法将我院2017年5月~2018年5月收治的GDM患者50例,按照随机数字表法分为A、B两组,各25例。A组给予常规健康知识指导,B组给予科学的运动联合饮食疗法。比较两组干预前后血糖代谢指标、血脂指标及不良妊娠结局发生情况。结果(1)两组干预后的FPG、FINS水平均低于干预前,且B组的FPG、FINS水平均低于A组(P<0.05)。(2)两组干预后的TC、LDL-C、ApoB水平均低于干预前,HDL-C水平高于干预前(P<0.05);干预后B组的TC、LDL-C、ApoB水平低于A组,HDL-C水平高于A组(P<0.05)。(3)A组早产、剖宫产、妊娠期高血压患者明显多于B组(P<0.05)。结论运动联合饮食疗法能有效控制GDM患者的血糖和血脂、减轻胰岛素抵抗、减少不良妊娠结局的发生。
Objective To observe the effects of exercise combined diet therapy on glycemic control,blood lipid levels and adverse pregnancy outcomes in patients with gestational diabetes mellitus (GDM). Methods 50 patients with GDM admitted to our hospital from May 2017 to May 2018 were divided into group A and group B according to the random number table method,with 25 cases in each group.Group A was given routine health knowledge guidance,while group B was given scientific exercise combined diet therapy.The blood glucose metabolism index,blood lipid index and adverse pregnancy outcomes before and after intervention of the two groups were compared. Results (1)After intervention,the levels of FPG and FINS in the two groups were lower than those before the intervention,and the FPG and FINS levels in the group B were lower than those in the group A (P < 0.05).(2) After intervention,the levels of TC,LDL-C and ApoB in the two groups were lower than those before the intervention,and the level of HDL-C was higher than that before the intervention(P < 0.05).After intervention,the levels of TC,LDL-C and ApoB in group B were lower than those in group A,and the level of HDL-C was higher than that in group A(P < 0.05).(3)The premature delivery,cesarean section and gestational hypertension in group A were significantly higher than those in group B (P < 0.05). Conclusion Exercise combined diet therapy can effectively control blood sugar and blood lipids in GDM patients,relieve insulin resistance, and reduce the occurrence of adverse pregnancy outcomes.
作者
张成
ZHANG Cheng(Department of Internal Medicine,Longchuan County Hospital of Traditional Chinese Medicine,Longchuan 517300,China)
出处
《中国医药科学》
2019年第13期59-61,217,共4页
China Medicine And Pharmacy
关键词
运动联合饮食
妊娠期糖尿病
胰岛素抵抗
妊娠结局
Exercise combined with diet
Gestational diabetes mellitus
Insulinresistance
Pregnancy outcome
