体质量管理联合正念行为训练对妊娠期糖尿病孕妇糖脂代谢及分娩结局的影响

Effects of body mass management combined with mindfulness behavior training on glucose and lipid metabolism and delivery outcome in pregnant women with gestational diabetes mellitus

目的 探讨体质量管理联合正念行为训练对妊娠期糖尿病孕妇糖脂代谢及分娩结局的影响。方法 选择2022年1月至2023年1月收治的104例妊娠糖尿病患者,随机分为对照组和观察组,每组57例。对照组给予常规干预,观察组给予体质量管理联合正念行为训练干预,比较2组干预前后糖脂代谢水平、焦虑抑郁改善情况、妊娠结局情况。结果 干预后,2组空腹血糖(FPG)、餐后2 h血糖(2 hPG)、TC、TG水平降低,观察组比对照组更明显(P<0.05);干预后,2组HAMA及HAMD评分下降,观察组比对照组更明显(P<0.05);观察组妊娠高血压、产褥感染、产后出血、早产、羊水过多、巨大儿、宫内窘迫发生率低于对照组,新生儿Apgar评分高于对照组(P<0.05)。结论 体质量管理联合正念行为训练可改善妊娠期糖尿病患者糖脂代谢,促进母婴健康,效果满意。

Objective To explore the effect of body mass management combined with mindfulness behavior training on glucose and lipid metabolism and delivery outcome of pregnant women with gestational diabetes mellitus(GDM).Methods A total of 104 GDM patients admitted from January 2022 to January 2023 were randomly divided into control group(n=57)and observation group(n=57).Patients in the control group received routine intervention,while those in the observation group received body mass management combined with mindfulness behavior training intervention.Glucose and lipid metabolism levels,anxiety,depression and pregnancy outcomes were compared between groups.Results After intervention,the levels of fasting plasma glucose(FPG),2-hour post-load glucose(2hPG),total cholesterol(TC),and triglycerides(TG)in the two groups decreased,which were significantly lower in the observation group than the control group(P<0.05).After intervention,the Hamilton Anxiety Rating Scale(HAMA)and the Hamilton Depression Rating Scale(HAMD)scores in both groups decreased,which were significantly lower in the observation group than the control group(P<0.05).The incidence of pregnancy hypertension,puerperal infection,postpartum bleeding,preterm delivery,polyhydramnios,macrosomia and intrauterine distress in the observation group was significantly lower than that in the control group,and the Apgar score of newborns was significantly higher than that in the control group(P<0.05).Conclusion Body mass management combined with mindfulness behavior training can improve glucose and lipid metabolism in GDM patients,and promote maternal and infant health with satisfactory results.