上肢运动锻炼对妊娠期糖尿患者的应用效果

目的探讨上肢运动锻炼对妊娠期糖尿病孕妇康复的作用。方法选择2016年3月至2017年3月行产前检查的妊娠期糖尿病孕妇80例，按照随机数字评分表将其分为观察组与对照组，对照组实施妊娠期糖尿病常规护理，观察组实施上肢运动锻炼。比较两组患者空腹血糖、胰岛素抵抗指数、总胆固醇、瘦素、体重指数变化、上臂皮脂厚度等相关预后指标。结果两组干预后空腹血糖值及餐后2h血糖值、体重质量指数均显著低于干预前，孕中期观察组空腹血糖、餐后2h血糖值、胰岛素抵抗指数、总胆固醇、瘦素、上臂皮脂厚度等指标显著低于对照组，差异有统计学意义（P〈0．05），体重指数得分差异无统计学意义（io〉0．05）。结论妊娠期糖尿病孕妇实施有针对性的上肢运动锻炼，可有效控制糖尿病的病情，利于患者的康复，在妊娠期糖尿病的治疗护理中有一定的借鉴意义。

Objective To investigate the effect of upper limb exercise on the rehabilitation of pregnant women with gestational diabetes mellitus. Methods 80 cases of gestational diabetes in pregnant women was selected in our hospital from March 2016 to March 2017, then divided into observation group and control group according to the random number table, routine nursing was carried out on gestational diabetes patients in control group, the observation group were implemented upper hmb movement exercise. The fasting blood glucose and insulin resistance of the two groups were compared, total cholesterol, leptin, body mass index, upper arm sebum thickness and other related prognostic indicators were compared. Results The indexes of fasting blood glucose, insulin resistance index, total cholesterol and leptin were significantly lower than those in the control group in the second trimester of pregnancy, the difference was statistically significant （ P〈0.05 ） , the body mass index score was not statistically significant （ P〉0.05 ） . Conclusions Pregnant women with gestational diabetes mellitus in implementation of upper hmb exercise, can effectively control diabetes, conducive to the rehabihtation of patients, has a certain significance in the treatment of gestational diabetes mellitus in nursing.