饮食和运动干预对妊娠期糖尿病孕妇血糖调控的作用

Effects of Diet and Exercise Intervention on Blood Glucose Regulation in Pregnant Women with Gestational Diabetes Mellitus

目的探讨和分析饮食和运动干预对妊娠期糖尿病孕妇血糖调控的作用。方法选择我院在2015年1月-2016年12月期间收治的242例妊娠期糖尿病孕妇作为研究主体,根据入院顺序均分为甲组和乙组,每组各121例孕妇,甲乙两组孕妇均给予常规护理,甲组孕妇加用饮食和运动干预措施,乙组孕妇通过短效胰岛素进行治疗,对比甲乙两组孕妇的血糖水平、母婴并发症情况以及剖宫产率。结果甲组孕妇的空腹血糖水平、餐后2h血糖水平均高于乙组孕妇,但差异对比不存在统计学意义(P>0.05)。甲组母婴并发症发生率、孕妇剖宫产率均高于乙组,但差异对比不存在统计学意义(P>0.05)。结论在妊娠期糖尿病孕妇的护理中,饮食和运动干预的应用效果很好,同注射短效胰岛素的效果相当,有效改善孕妇的血糖水平,并降低母婴并发症发生的风险,降低剖宫产率,值得推广。

Objective To investigate and analyze the diet and exercise intervention on blood glucose during pregnancy in pregnant women with diabetes mellitus control. Methods Selected in our hospital during January 2015-2016 year in December 242 cases of gestational diabetes in pregnant women as research subjects, according to the sequence of women were divided into group a and group B, each of the 121 cases of pregnant women B, two groups of pregnant women were given routine nursing care, the measures for pregnant women with diet and exercise intervention, group B pregnant women treated with short acting insulin, a comparison of two groups of pregnant women blood glucose levels, maternal complications and cesarean section rate. Results The group of pregnant women fasting blood glucose levels, 2h postprandial blood glucose was higher than B but the difference between groups of pregnant women, there was no statistical significance （P〉0.05）. The incidence of maternal complications and cesarean section rate were higher than those in group B, but there were no statistical differences between Significance （P〉0.05）. Conclusion In the nursing care of pregnant women with gestational diabetes, the application effect of diet and exercise intervention is very good, quite the same injection of short acting insulin effect, effectively improve maternal blood glucose levels, and reduce the risk of maternal complications, reduce the cesarean section rate, worthy of promotion.