运动治疗妊娠糖尿病临床观察

The Clinical Observation of Sports Therapy in Gestational Diabetes mellitus

目的了解运动治疗妊娠糖尿病的安全性及有效性。方法50例确诊为妊娠糖尿病且无运动禁忌症的患者随机分为运动治疗组和非运动治疗组,运动方法:以上肢运动为主,患者每天坐于椅上,每手握两磅重哑铃做上下抬举运动,频率20次/分,时间为30分钟。共治疗12周。观察两组患者治疗前空腹血糖(FPG)、空腹胰岛素,C-肽及餐后2小时血糖(p2hBG)、胰岛素,C-肽;治疗后空腹血糖(FPG)、空腹胰岛素,C-肽及餐后2小时血糖(p2hBG)、胰岛素,C-肽;血糖达标时每日胰岛素使用总量,同时观察两组出现的不良反应。结果运动治疗组各项指标均比非运动治疗组明显下降,P<0.05。运动治疗组在血糖达标时每日胰岛素使用总量较非运动治疗组明显减少,P<0.05,两组均未出现明显的不良反应。结论运动治疗妊娠糖尿病安全有效,能减轻胰岛素抵抗,应引起广大医务工作者的重视。在没有禁忌症的情况下应积极提倡。

Objective To investigate the safety and efficacy of sports therapy in gestational diabetes mellitus, Methods The patients who were diagnosed with gestational diabetes mellitus were separated into 2 groups： sports therapy group and non-sports therapy group. The patients in the sports therapy group were instructed to sit on a chair and exercised by lifting a 2 kilogram weighted dumb-bell at the rate of 20 times per minute for 30 minutes each day and for a total period of 12 weeks. The fasting blood glucose, the fasting insulin level, C-peptide, the post-prandial （2hours） blood glucose （p2hBG）, blood insulin and C-peptide were investigated. The quantity of insulin used for proper blood sugar control and the side effects between the two groups were compared. Results The patients in the sports therapy group fared much better than those in the non sports therapy group, P〈0.05. The quantity of insulin required in the sports therapy group was less than those in the non-sports therapy group, P〈0.05. There were no side effects in either group. Conclusion In our observation sports therapy was safe and efficacious for patients with gestational diabetes mellitus. It could reduce the quantity of insulin necessary for proper blood sugar control and should be recommended for wide use in patients with gestational diabetes mellitus.