产前运动疗法对妊娠期糖尿病患者血糖控制的影响

The effect of prenatal kinesiotherapy on blood glucose level control in patients with gestational diabetes mellitus

目的探讨孕期产前瑜珈运动对妊娠期糖尿病（GDM）患者血糖控制的影响。方法选取我院2011年2月~2012年9月孕中期（孕24~28周）,经OGTT试验确诊为GDM而无其它病理因素的孕妇93例为研究对象,随机分为研究组53例与对照组40例。研究组在饮食控制结合饭后散步运动的基础上,予以加强产前瑜珈运动指导;对照组仅进行饮食控制结合饭后散步运动。比较分析两组患者血糖控制的效果与稳定性。结果运动治疗后,研究组空腹血糖明显低于对照组,差异有统计学意义（t=5.948,P〈0.05）;餐后2 h血糖亦明显低于对照组,差异有统计学意义（t=4.669,P〈0.05）。结论产前瑜伽运动有助于GDM患者血糖水平的控制。

Objective To explore the influence of prenatal yoga exercise on blood glucose level control in patients with gestational diabetes mellitus（GDM）.Methods In our hospital from February 2011 to September 2012（second trimester pregnancy 24~28 weeks）,pregnant women were diagnosed as GDM by OGTT test and other pathological factors in 93 cases as the research object,randomly divided into study group of 53 cases and 40 cases in the control group.The study group on the basis of diet control with a walk after dinner movement,to strengthen the prenatal yoga exercise guidance;the control group was only diet control with a walk after dinner movement.The two groups were compared and analyzed the effects of glycemic control and stability.Results After exercise treatment,fasting blood glucose in the study group was significantly lower than the control group,the difference was statistically significant（t-5.948,P〈0.05）;postprandial blood glucose of 2 h was also significantly lower than the control group,the difference was statistically significant（t-4.669,P〈0.05）.Conclusion prenatal yoga exercise is an effective controlling method to patients with gestational diabetes blood sugar.