精细化定量饮食联合运动制订在妊娠糖尿病患者中的应用价值

Application Value of Refined Quantitative Diet Combined with Exercise Formulation in Patients with GestationalDiabetes Mellitus

目的:分析精细化定量饮食联合运动制订在妊娠糖尿病患者中的应用效果。方法:选取2021年8月—2023年2月泰安市妇幼保健院收治的妊娠糖尿病患者82例作为研究对象,随机分为观察组和对照组,各41例。对照组给予常规饮食、运动护理,观察组给予精细化定量饮食联合运动制订。比较两组护理效果。结果:护理后,两组空腹血糖、餐后2 h血糖、糖化血红蛋白,甘油三酯、总胆固醇、低密度脂蛋白胆固醇水平及胰岛素抵抗指数低于护理前,且观察组低于对照组,差异有统计学意义(P<0.05);两组高密度脂蛋白胆固醇、胰岛素分泌指数、空腹胰岛素水平高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05)。观察组不良妊娠结局发生率低于对照组,差异有统计学意义(P=0.011)。结论:精细化定量饮食联合运动制订可降低妊娠糖尿病患者血糖、血脂水平,改善胰岛功能和妊娠结局。

Objective:To analyze the application effect of refined quantitative diet combined with exercise formulation in patients with gestational diabetes mellitus.Methods:A total of 82 patients with gestational diabetes mellitus admitted to Taian Maternity and Child Health Hospital from August 2021 to February 2023 were selected as the study subjects.They were randomly divided into observation group and control group,with 41 cases in each group.The control group was given routine diet and exercise nurs⁃ing,and the observation group was given refined quantitative diet combined with exercise formulation.The nursing effect was com⁃pared between the two groups.Results:After nursing,the levels of fasting blood glucose,2 h postprandial blood glucose,glycosyl⁃ated hemoglobin,triglycerides,total cholesterol,low density lipoprotein cholesterol and insulin resistance index in the two groups were lower than those before nursing,and the levels in the observation group were lower than those in the control group,and the difference was statistically significant(P<0.05);While the levels of high density lipoprotein cholesterol,insulin secretion index and fasting insulin level in the two groups were higher than those before nursing,and the levels in the observation group were higher than those in the control group,and the difference was statistically significant(P<0.05).The incidence of adverse preg⁃nancy outcomes in the observation group was lower than that in the control group,and the difference was statistically significant(P=0.011).Conclusion:The refined quantitative diet combined with exercise formulation can reduce blood glucose and blood lipid levels,and improve pancreatic islet function and pregnancy outcomes in patients with gestational diabetes mellitus.