规律运动对妊娠期糖尿病患者血糖控制的系统评价

发布时间：2018-09-12 10:33

【摘要】：目的系统评价规律运动对妊娠期糖尿病患者血糖水平的影响。方法计算机检索Pub Med、The Cochrane Library、EMBASE、Web of Science、Science Direct和中国生物医学文献数据库(CBM)、相关期刊论文(CNKI)、万方数字化期刊全文数据库(Wan fang Data)、中文期刊全文数据库(VIP)中有关妊娠期糖尿病患者规律运动对血糖控制研究的随机对照试验,检索截至2016年10月,并追溯纳入研究的参考文献。按照纳入和排除标准筛选文献并进行质量评价,从中提取数据。采用Review Manager 5.3软件进行Meta分析。结果共纳入11个研究,合计784例患者。Meta分析显示,规律运动联合常规护理组在餐后2 h血糖水平、空腹血糖、糖化血红蛋白及胰岛素使用方面明显优于常规护理组(MD=-0.67,MD=-0.59,MD=-0.40;OR=0.47),差异均有统计学意义(P0.05)。结论规律运动可改善血糖控制,减少围产期母婴临床结局不良。
[Abstract]:Objective to evaluate the effect of regular exercise on blood glucose level in gestational diabetes mellitus (GDM). Methods to search Pub Med,The Cochrane Library,EMBASE,Web of Science,Science Direct and Chinese biomedical literature database (CBM), (CNKI), Wanfang full text journal database (Wan fang Data), Chinese periodical full text database (VIP) about gestational glycosuria A randomized controlled trial of the study of regular exercise on blood glucose control in patients with disease. Search as of October 2016, and retroactively include references into the study. According to the inclusion and exclusion criteria, the literature was screened and the quality was evaluated to extract the data. Meta analysis was carried out with Review Manager 5.3 software. Results A total of 784 patients were included in 11 studies. Meta-analysis showed that regular exercise combined with routine nursing group had 2 h postprandial blood glucose level and fasting blood glucose. Glycosylated hemoglobin and insulin use were significantly better than routine nursing group (MD=-0.67,MD=-0.59,MD=-0.40;OR=0.47), the difference was statistically significant (P0.05). Conclusion regular exercise can improve blood glucose control and reduce perinatal adverse clinical outcomes.
【作者单位】：成都职业技术学院医护学院;四川大学灾后重建与管理学院研究生院;四川大学华西医院护理部;成都市第五人民医院;
【基金】：2016年成都医学院四川应用心理学研究中心资助项目(CSXL-162102)
【分类号】：R714.256

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