摘要
目的 为给予孕前肥胖孕妇妊娠期糖尿病以及高血压更好的预防与相关防护,分析实施个性化饮食指导结合有氧运动对孕妇以及新生儿产生的积极作用。方法 从本院收治的孕前肥胖孕妇中按照时间限制(2021年5月-2023年1月)选择120例作为本次研究的样本,实施随机平均分组后,对照组采取常规护理,观察组进行个性化饮食指导结合有氧运用做针对性护理。就各项结果方面产生的差异进行比较。结果 两组干预前孕妇血糖以及血压差异不显著,干预后观察组空腹以及餐后2h血糖指标、血压收缩压及舒张压均低于对照组;观察组孕妇不良结局发生概率低于对照组;观察组新生儿不良结局较对照组各项情况发生概率低;上述差异有统计学意义(P<0.05)。结论 为帮助孕前肥胖孕妇更好地规避妊娠期糖尿病和高血压,对其进行有效预防十分重要。在预防措施上,实施个性化饮食治疗结合有氧运动能改善孕妇及新生儿不良结局发生的概率,控制孕妇体重,降低糖尿病以及高血压产生的可能性,进一步帮助孕妇规避相应风险。
Objective To provide better prevention and related protection for pregnant women with pre pregnancy obesity and diabetes and hypertension,analyze positive effect of personalized diet guidance combined with aerobic exercise on pregnant women and newborns.Methods The paper chose 120 pregnant women with pre pregnancy obesity admitted to our hospital as study samples based on time constraints(from May 2021 to January 2023).After random average grouping,control group was treated with routine nursing,while observation group with personalized dietary guidance combined with aerobic for targeted nursing.Difference in various results was compared.Results There was no significant difference in blood glucose and blood pressure between two groups before intervention.After intervention,fasting and 2-hour postprandial blood glucose indicators,blood pressure systolic and diastolic blood pressure in observation group were lower than control group;incidence of adverse outcomes in observation group was lower than control group;observation group had lower incidence of adverse neonatal outcomes than control group;above difference were statistically significant(P<0.05).Conclusion To help pregnant women with pre pregnancy obesity avoid pregnancy diabetes and hypertension,effective prevention is important.In terms of preventive measures,personalized diet treatment combined with aerobic exercise can improve incidence of adverse outcomes of pregnant women and newborns,control weight of pregnant women,reduce possibility of diabetes and hypertension and further help them avoid corresponding risks.
作者
杨雅嵋
瞿大成
刘胜凤
张程举
郑秋岚
YANG Yamei;QU Dacheng;LIU Shengfeng;ZHANG Chengju;ZHENG Qiulan(Department of Obstetrics and Gynecology,North Sichuan Medical University Affiliated Hospital,Nanchong,Sichuan 637000)
出处
《智慧健康》
2023年第18期257-260,共4页
Smart Healthcare
基金
川北医学院四川省基层卫生事业发展中心资助课题《孕期膳食营养指导联合有氧运动对孕产妇缓解焦虑情绪和降低分娩风险的调查研究》(项目编号:SWFZ21-Y-28)。
关键词
个性化饮食指导
有氧运动
孕前肥胖
妊娠期高血压
妊娠期糖尿病
预防干预
Personalized dietary guidance
Aerobic exercise
Prepregnancy obesity
Pregnancy induced hypertension
Gestational diabetes
Preventive interven tions