个性化饮食及运动干预对门诊期糖尿病孕妇的影响分析

Analysis of the Influence of Individualized Diet and Exercise Intervention on Pregnant Women with Diabetes in Outpatient Period

目的探析个性化饮食及运动干预应用于门诊期糖尿病孕妇,对孕妇血糖与妊娠结局的影响。方法将2019年1月—2020年12月该科室接收的100例门诊期糖尿病孕妇分别纳入对照组与观察组,对照组50例门诊期糖尿病孕妇接受常规干预;观察组50例门诊期糖尿病孕妇接受个性化饮食及运动干预,比较干预前后血糖、糖化血红蛋白水平;比较孕妇妊娠结局差异。结果观察组孕妇空腹血糖、餐后2 h血糖、糖化血红蛋白指标分别为(4.55±0.91)mmol/L、(6.87±0.81)mmol/L、糖化血红蛋白(4.16±1.35)%,与对照组相比明显更低,差异有统计学意义(t=6.175、7.521、4.704,P<0.05)。观察组妊高症7例(14.00%)、羊水过多6例(12.00%)、巨大儿5例(10.00%)、胎儿宫内窘迫5例(10.00%)、剖宫产8例(16.00%),与对照组相比均更低,差异有统计学意义(χ^(2)=4.574、4.000、5.263、4.336、5.198,P<0.05)。结论门诊期糖尿病孕妇接受个性化饮食及运动干预,对产妇血糖水平与妊娠结局具有重大影响,能够确保母婴健康。

Objective To explore the influence of personalized diet and exercise intervention applied to pregnant women with diabetes in outpatient period on pregnant women's blood glucose and pregnancy outcome.Methods 100 cases of outpatient diabetic women received in the department from January 2019 to December 2020 were included in the control group and observation group.50 cases of outpatient diabetic women in the control group received routine intervention;50 cases of outpatient diabetes in the observation group received personalized diet and exercise intervention,and compared the blood glucose and glycosylated hemoglobin levels before and after the intervention;compared the differences in pregnancy outcomes of pregnant women.Results The indexes of fasting blood glucose,blood glucose 2 h after meal,and glycosylated hemoglobin of the observation group were(4.55±0.91)mmol/L,(6.87±0.81)mmol/L,and(4.16±1.35)%of glycosylated hemoglobin,respectively,which were significantly lower than those of the control group,and the difference was statistically significant(t=6.175,7.521,4.704,P<0.05).In the observation group,7 cases of pregnancy-induced hypertension(14.00%),6 cases of polyhydramnios(12.00%),5 cases of macrosomia(10.00%),5 cases of fetal distress(10.00%),8 cases of cesarean section(16.00%),all lower compared to the control group,and the difference was statistically significant(χ^(2)=4.574,4.000,5.263,4.336,5.198,P<0.05).Conclusion Diabetic pregnant women receive personalized diet and exercise intervention during the outpatient period,which have a significant impact on maternal blood glucose levels and pregnancy outcome,and can ensure the health of mothers and babies.