饮食运动干预联合胰岛素对妊娠期糖尿病孕妇妊娠结局的影响

The Effect of Diet Exercise Intervention Combined with Insulin on Pregnancy Outcome of Pregnant Women with Gestational Diabetes Mellitus

目的研究饮食运动干预联合胰岛素对妊娠期糖尿病(gestational diabetes mellitus,GDM)孕妇妊娠结局的影响。方法选择2016年5月-2020年5月我院的GDM孕妇100例,根据干预方式的不同将其分为对照组和实验组,各50例。对照组采用常规干预及胰岛素治疗,实验组在对照组的基础上联合饮食运动干预。对比两组的血糖控制情况、不良妊娠结局。结果干预后实验组的FPG、2hPG、HbA1c低于对照组(P<0.05);实验组的不良妊娠结局总发生率低于对照组的(P<0.05)。结论饮食运动干预联合胰岛素相比单纯的胰岛素治疗能够有效控制GDM孕妇的血糖水平,降低不良妊娠结局的发生。

Objective To study the effect of diet exercise intervention combined with insulin on pregnancy outcome in pregnant women with gestational diabetes mellitus(GDM).Methods 100 GDM pregnant women from May 2016 to May 2020 were selected and divided into control group and experimental group according to the intervention mode,50 cases respectively.The control group was treated with routine intervention and insulin,and the experimental group combined with diet and exercise intervention on the basis of the control group.The blood glucose control and adverse pregnancy outcome were compared between the two groups.Results FPG,2hPG and HbA1c in the dry prognosis group were lower than that in the control group(P<0.05),and the total incidence of adverse pregnancy outcome(4.00%)in the experimental group was lower than that of the control group(18.00%)(P<0.05).Conclusion Compared with insulin alone,diet exercise intervention can effectively control the blood glucose level of GDM pregnant women and reduce the occurrence of adverse pregnancy outcome.