妊娠期糖尿病孕妇产前运动锻炼的安全性及对血糖控制的影响

Safety of prenatal exercise among women with gestational diabetes mellitus and it's effect blood glucose control

目的评估妊娠期糖尿病(GDM)孕妇产前运动锻炼的安全性及对血糖控制的影响。方法选择2011年6月—2013年6月因GDM住院待产的70例孕妇。随机分为观察组和对照组。观察组在康复师指导和专职护士监测下实施上肢功率计运动,运动于早餐和午餐后1 h进行,20 min/次。采用胰岛素泵控制血糖,精确计算和调整每日胰岛素用量。比较两组空腹血糖、餐后2 h血糖、日均胰岛素用量、血糖达标时间和母婴结局差异。结果血糖达标时间差异无统计学意义,观察组日均胰岛素用量显著低于对照组(P<0.05)。两组母婴低血糖、妊高症、皮肤感染、早产、胎儿窘迫、胎儿生长受限及窒息等发生率差异无统计学意义。结论 GDM孕妇产前医护监测下运动锻炼具有一定安全性,有助平稳控制血糖,减少胰岛素用量。

Objective To evaluate the effect and safety of pre-delivery physical activity for patients with gestational diabetes mellitus（ GDM） and it＇s effect blood glucose control. Methods 70 patients with gestational diabetes mellitus were randomly divided into physical activity group and control group from June 2011 to June 2013. Upper limbs activities guided by rehabilitation division and full-time nurse were executed in physical activity group. The time for successful treatment,the daily insulin dosage,maternal and neonatal complications were assessed. Results The daily insulin dosage in physical activity group was significantly less than that in control group（ P〈0. 05）. Maternal and neonatal complications in physical activity group were the same as in the control group. Conclusions Physical activity under monitoring for patients with gestational diabetes mellitus were safe to mater and neonate,and the hyperglycemia were controlled safely with less insulin dosage.