运动疗法对妊娠期糖尿病患者血糖及妊娠结局的影响研究

Application of exercise therapy in patients with gestational diabetes mellitus and its influence on blood glucose fluctuation and pregnancy outcome

目的观察运动疗法对妊娠期糖尿病患者中血糖波动及妊娠结局的影响。方法选取2015年1月至2016年12月本院收治的妊娠期糖尿病患者70例,随机数字法分为对照组(n=35)和观察组(n=35)。对照组采用饮食控制及门冬胰岛素皮下注射治疗,观察组在对照组基础上联合运动疗法;采用血糖测定仪对两组治疗前后空腹及餐后2 h血糖水平进行测定,比较两组血糖及妊娠结局。结果两组治疗前空腹血糖及餐后2 h血糖水平比较差异无统计学意义(P>0.05);治疗后观察组空腹血糖及餐后2 h血糖水平,低于对照组(P<0.05);治疗后观察组羊水过多、剖宫产、早产、胎儿宫内窘迫、巨大儿及妊娠期高血压的发生率低于对照组(P<0.05)。结论妊娠期糖尿病患者在饮食控制及门冬胰岛素皮下注射治疗基础上联合运动疗法效果理想,能有效的降低患者血糖,改善妊娠结局,值得推广应用。

Objective To observe the effect of exercise therapy on gestational diabetes mellitus（GDM）and its effect on blood glucose fluctuation and pregnancy outcome. Methods a total of 70 patients with gestational diabetes mellitus in our hospital from January 2015 to December 2016,were randomly divided into control group（n = 35） and observation group（n = 35）. The control group by subcutaneous injection of diet control and insulin aspart treatment,the observation group in the control group based on the combined with exercise therapy,the blood glucose meter in 2 groups before and after treatment. Blood glucose levels were measured and compared 2 groups of clinical curative effect and effect on blood glucose fluctuation. Results Fasting blood glucose and postprandial blood glucose level of 2H had no significant difference between the 2 groups before treatment（P0.05）; the observation group after treatment,fasting blood glucose and postprandial 2H blood glucose levels lower than the control group（P0.05）; the observation group after treatment of polyhydramnios,cesarean section,premature birth,macrosomia and pregnancy induced hypertension incidence rate lower than the control group（P0.05）. Conclusions In diabetic patients with diet control and insulin aspart subcutaneous injection based on the treatment effect of pregnancy combined with exercise therapy ideal,can effectively reduce blood glucose,improve the pregnancy outcome,it is worthy of popularization and application.