个体化医学营养治疗联合运动疗法在妊娠期糖尿病合并妊娠期高血压患者中的应用效果

Application Effect of Individualized Medical Nutrition Therapy Combined with Exercise Therapy in Patients with Gestational Diabetes Mellitus and Gestational Hypertension

目的 对妊娠期糖尿病(gestational diabetes mellitus,GDM)合并妊娠期高血压(pregnancy hypertension disease,PHD)患者实施个体化医学营养治疗联合运动疗法干预,旨在探究联合治疗的应用效果。方法 选取2020年3月—2021年3月福建省三明市第一医院收治的92例GDM合并PHD患者,采用单盲法将其分为对照组和观察组,每组46例。对照组接受常规治疗,观察组在对照组基础上接受个体化医学营养治疗联合运动疗法。比较两组患者血糖、血压水平以及孕妇妊娠不良结局、婴儿不良结局发生概率。结果 分娩前观察组空腹血糖(FPG)、餐后2 h血糖(2 hPG)、收缩压(SBP)、舒张压(DBP)水平明显比干预前低,且低于对照组,差异有统计学意义(P<0.05);观察组孕妇胎盘早剥、产后出血、胎膜早破、羊水过多总发生率(2.17%)、婴儿不良结局发生概率(0.00%)均比对照组(17.39%、13.04%)低,差异有统计学意义(P<0.05)。结论 对GDM合并PHD患者实施个体化医学营养治疗联合运动疗法可以降低其血糖和血压水平,改善母婴结局。

Objective To implement individualized medical nutrition therapy combined with exercise therapy intervention in patients with gestational diabetes mellitus(GDM) complicated with gestational hypertension(PHD),in order to explore the application effect of combined therapy.Methods 92 patients with GDM and PHD admitted to the First Hospital of Sanming City,Fujian Province,from March 2020 to March 2021 were selected and divided into control group and observation group by the method of single blind method,with 46 patients in each group.The control group received conventional treatment,and the observation group received individualized medical nutrition therapy combined with exercise therapy on the control group.The blood glucose and blood pressure levels of the two groups were compared,as well as the probability of adverse pregnancy outcomes of pregnant women and adverse outcomes of infants.Results The fasting blood glucose(FPG),2 h postprandial blood glucose(2 hPG),systolic blood pressure(SBP),and diastolic blood pressure(DBP) levels of the observation group in the ante partum were significantly lower than those before the intervention,and lower than the control group,the difference was statistically significant(P<0.05);the total incidence of placental abruption,postpartum hemorrhage,premature rupture of membranes,polyhydramnios(2.17%),and the incidence of adverse infant outcomes(0.00%) in the observation group were lower than those in the control group(17.39%,13.04%),the difference was statistically significant(P<0.05).Conclusion Individualized medical nutrition therapy combined with exercise therapy for GDM patients with PHD can reduce their blood glucose and blood pressure levels and improve maternal and infant outcomes.