个体化营养治疗联合运动疗法治疗妊娠期糖尿病的效果分析

Effect analysis of individualized nutrition therapy combined with exercise therapy on gestational diabetes mellitus

目的分析妊娠期糖尿病(GDM)治疗中应用个体化营养治疗联合运动疗法的临床效果。方法选取100例GDM患者,按照随机抽签法将其分为两组,每组50例。对照组应用常规GDM管理,观察组在对照组基础上应用个体化营养治疗联合运动疗法。比较两组的糖代谢指标[糖化血红蛋白(HbA1c)、空腹血糖(FPG)、餐后2h血糖(2hPG)]及不良妊娠结局。结果治疗前,两组患者FPG、2hPG、HbA1c水平比较,差异无统计学意义(P>0.05);治疗后,观察组患者的FPG、2hPG、HbA1c水平均明显低于对照组,差异有统计学意义(P<0.05)。观察组的不良妊娠结局率为6.00%,明显低于对照组的20.00%,差异有统计学意义(P<0.05)。结论对GDM患者应用个体化营养治疗联合运动疗法,可显著改善其糖代谢情况,且能够减少不良妊娠结局发生,相比常规GDM管理方案更具优势。

Objective To analyze the clinical effect of individualized nutrition therapy combined with exercise therapy in the treatment of gestational diabetes mellitus(GDM).Methods 100 GDM patients were selected and divided into two groups with 50 cases in each group according to random drawing method.The control group received conventional GDM management,and the observation group received individualized nutrition therapy combined with exercise therapy based on the control group.Glucose metabolism indexes(HbA1c,fasting blood glucose(FPG),2 h postprandial blood glucose(2 hPG)and adverse pregnancy outcomes were compared between the two groups.Results Before treatment,there was no significant difference in FPG,2 h PG and HbA1c levels between the two groups(P>0.05).After treatment,the levels of FPG,2 h PG and HbA1c in observation group were significantly lower than those in control group,with statistical significance(P<0.05).The adverse pregnancy outcome rate in the observation group was 6.00%,which was significantly lower than that in the control group(20.00%),and the difference was statistically significant(P<0.05).Conclusion The application of individualized nutrition therapy combined with exercise therapy in GDM patients can significantly improve their glucose metabolism and reduce adverse pregnancy outcomes,which is more advantageous than conventional GDM management programs.