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目的探讨饮食干预与运动指导对妊娠期糖尿病患者血糖指标及妊娠结局的影响。方法选取2011年6月~2013年6月在本院住院治疗的妊娠期糖尿病患者100例,将患者随机分为观察组和对照组,每组各50例,对照组给予常规的入院指导和宣教,并未对其做具体的指导。观察组在对照组的基础上给予个性化的饮食干预和运动指导,观察两组患者的血糖指标变化情况和对妊娠结局的影响效果。结果观察组患者空腹血糖、餐后2 h血糖至明显低于对照组,差异具有统计学意义(P<0.05),观察组患者剖宫产率、合并妊娠期高血压疾病、羊水过多、感染发生率明显低于对照组差异具有统计学意义(P<0.05),观察组患者巨大儿、早产、新生儿低血糖发生情况明显低于对照组,差异具有统计学意义(P<0.05)。结论个性化的饮食和运动干预能够较好的控制血糖水平,降低母儿并发症的发生率,是一种行之有效的治疗方法。
Objective To investigate the effect of diet intervention and exercise instruction on blood glucose and gestational outcome in gestational diabetes mellitus. Methods 100 pregnant women with gestational diabetes admitted to our hospital from June 2011 to June 2013 were randomly divided into observation group and control group, 50 cases in each group. The control group was given routine admission guidance and mission , Did not make its specific guidance. The observation group was given personalized diet intervention and exercise instruction on the basis of the control group. The changes of the blood glucose index and the effect on the pregnancy outcome were observed in both groups. Results The fasting blood glucose and postprandial 2-h postprandial blood glucose in the observation group were significantly lower than those in the control group (P <0.05). The incidence of cesarean section, pregnancy-induced hypertension, polyhydramnios and infection (P <0.05). The incidence of hypoglycemia in macrosomia, premature birth and newborn in the observation group was significantly lower than that in the control group (P <0.05). Conclusion Individualized diet and exercise intervention can better control blood glucose levels and reduce the incidence of complications of maternal and child, which is an effective treatment.