妊娠糖尿病的运动疗法

妊娠糖尿病（ＧＤＭ）是妊娠期常见的并发病之一，国外自９０年代以来将运动疗法引入妊娠糖尿病的治疗。本文综述近年来有关ＧＤＭ运动疗法的机制、运动方式、运动处方、运动时间的文献，表明运动疗法可以改善患者的胰岛素抵抗，减轻体重，预防动脉粥样硬化；安全有效的运动疗法对ＧＤＭ患者可免除或减少胰岛素的使用。但由于妊娠期糖尿病的情况比较复杂，真正在临床上引入运动疗法还需要积累临床资料。

Abstract Gestational Diabetes Mellitus(GDM) is a common complication during pregnancy.Since 1990s,the therapeutic exercise has been introduced to treat GDM on abroad.The research articles were reviewed on mechanism of therapeutic exercise,exercise procedure,exercise prescription,exercise period about GDM.These data supported that exercise may improve the resistant of the patients with GDM to insulin,reduce the body weight,prevent atherosclerosis.The safe and effective exercise can reduce the amount of insulin or don't need insulin in the patients with GDM.The pathogenesis of GDM was so very complicated that the application of exercise to GDM patients need more clinical practice and more research data.