饮食运动管理对妊娠期糖尿病的应用研究

发布时间：2018-03-02 12:05

本文选题：妊娠期糖尿病　切入点：饮食运动管理　出处：《中国妇幼健康研究》2016年12期 　论文类型：期刊论文

【摘要】：目的探讨饮食控制和运动管理在妊娠期糖尿病(GDM)中的应用效果。方法选取青岛市胶州中心医院产科自2014年7月至2015年7月间收治的114例确诊为妊娠期糖尿病的患者进行实验研究,按照数字随机原则将其分成三组,即对照组A患者38例未采取任何干预,对照组B38例仅采用常规护理干预,观察组(38例)在常规护理基础上行饮食控制和运动管理干预,测定三组孕妇干预前后的血糖含量变化;同时记录母婴并发症情况、剖宫产率、新生儿转儿科率。结果对照组A患者干预前后空腹血糖(FBG)、餐后2h血糖(2h PG)均无显著性差异(t值分别为0.543、2.164,均P0.05),对照组B患者干预后血FBG、2h PG均显著下降(t值分别为4.812、5.198,均P0.05),且均显著低于对照组A干预后(t值分别为2.346、2.879,均P0.05),观察组患者干预后血FBG、2h PG均显著下降(t值分别为9.166、10.336,均P0.05),且均显著低于对照组A和对照组B干预后(t值分别为3.908、4.568、2.065、2.978,均P0.05)。观察组产妇并发症、新生儿并发症发生率均显著低于对照组A组(χ2值分别为5.330、4.659,均P0.05),且产妇并发症显著低于对照组B(χ2=3.439,P0.05),但新生儿并发症发生率无显著性差异(χ2=1.401,P0.05)。观察组产妇剖宫产率、新生儿转儿科率均显著低于对照组A(χ2值分别为4.070、4.145,均P0.05),但和对照组B比较均无显著性差异(χ2值分别为0.957、2.235,均P0.05)。结论妊娠期糖尿病孕妇治疗过程中加强对饮食运动的管理干预,能够降低和避免孕妇、新生儿并发症发生率,避免不良妊娠结局的发生,值得推广。
[Abstract]:Objective to investigate the effect of diet control and exercise management on GDM in gestational diabetes mellitus (GDM). Methods 114 cases of gestational diabetes mellitus were selected from July 2014 to July 2015 in Department of obstetrics of Jiaozhou Central Hospital of Qingdao City. To carry out experimental research, According to the principle of digital randomization, 38 patients in control group A did not take any intervention, while the control group B 38 patients only accepted routine nursing intervention, while 38 patients in observation group received diet control and exercise management intervention on the basis of routine nursing. The changes of blood sugar content before and after intervention were measured, and the complications of mother and child, the rate of cesarean section were recorded. Results there was no significant difference in fasting blood glucose (FBGG), 2 h postprandial blood glucose (2h PG) before and after intervention in control group (P < 0.05), and there was no significant difference between two groups (P < 0.05). In control group B, serum FBGG 2 h PG decreased significantly (4.8125.198, P < 0.05). All of them were significantly lower than that of the control group (P < 0.05), and significantly lower than that of the control group (P < 0.05), respectively. The blood FBGN 2 h PG of the patients in the observation group decreased significantly after intervention, and the serum FBGG 2 h PG decreased significantly (P 0.05), respectively, and were significantly lower than those of the control group A and the control group B, respectively, and the t values were significantly lower than those of the control group A and the control group B, respectively. 3.908, 4.568, 2.065U, 2.978, all P0.05. complications in the observation group, The incidence of neonatal complications was significantly lower than that of control group A (蠂 2 = 5.330 卤4.659, P 0.05, respectively), and the maternal complication was significantly lower than that of control group B (蠂 2, 3.439, P 0.05), but there was no significant difference in the incidence of neonatal complications (蠂 2, 1.401, P 0.05, 蠂 2, 1.401, P 0.05, 蠂 2, P 0.05). The rate of neonatal transition to paediatrics was significantly lower than that of the control group (蠂 ~ 2 = 4.070 ~ 4.145, P < 0.05), but there was no significant difference between the two groups (蠂 ~ 2 = 0.957 卤2.235, P < 0.05). Conclusion during the treatment of pregnant women with gestational diabetes mellitus, the management and intervention of diet and exercise should be strengthened, and there is no significant difference between the two groups (蠂 ~ 2 = 0.957 卤2.235, P < 0.05). It is worth popularizing to reduce and avoid the incidence of complications of pregnant women and neonates and to avoid adverse pregnancy outcomes.
【作者单位】：青岛市胶州中心医院产科;
【分类号】：R473.71

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