运动疗法对妊娠期糖尿病的治疗效果

目的探讨运动疗法对妊娠期糖尿病(GDM)的治疗效果。方法将2019年2月—2020年2月期间该院收治的妊娠期糖尿病患者作为研究对象,共计300例,按照不同的治疗方法将所有患者分为对照组(n=150)与观察组(n=150),对照组采用常规饮食疗法,观察组在对照组的基础上采用运动疗法。观察两组产妇治疗前后的血糖与糖化血红蛋白值、妊娠结局等相关情况。结果治疗后观察组空腹血糖(4.83±0.95)mmol/L、餐后2 h血糖(6.64±1.21)mmol/L以及糖化血红蛋白(6.09±1.02)%,对照组分别为(6.45±0.87)mmol/L、(8.63±1.17)mmol/L、(8.48±1.36)%,观察组均低于对照组,差异有统计学意义(t=15.402、14.480、18.950,P<0.05)。观察组羊水过多率为5.33%、产后出血率为0.00%、胎儿窘迫率为0.00%、新生儿窒息率为2.00%、早产率为0.00%,对照组为21.33%、8.67%、6.00%、14.00%、6.67%,组间差异有统计学意义(χ²=11.079、9.063、6.186、9.783、6.900,P<0.05)。结论采用运动疗法治疗妊娠期糖尿病患者,能有效的改善患者的血糖水平、以及糖化红蛋白水平,降低不良妊娠结局的发生率,对保障母婴的生命安全具有极其重要的作用,值得临床应用。

The Effect of Exercise Therapy on Gestational Diabetes Mellitus

Objective To explore the effect of exercise therapy on gestational diabetes mellitus(GDM).Methods A total of 300 patients with gestational diabetes mellitus admitted to the hospital from February 2019 to February 2020 were used as the research object.According to different treatment methods,all patients were divided into a control group(n=150)and an observation group(n=150),the control group adopted conventional diet therapy,and the observation group adopted exercise therapy on the basis of the control group.Observe the blood glucose,glycosylated hemoglobin value,pregnancy outcome and other related conditions of the two groups of parturients before and after treatment.Results After treatment,the observation group had fasting blood glucose(4.83±0.95)mmol/L,2 h postprandial blood glucose(6.64±1.21)mmol/L,and glycosylated hemoglobin(6.09±1.02)%,and the control group was(6.45±0.87)mmol/L,respectively,(8.63±1.17)mmol/L,(8.48±1.36)%,the observation group was lower than the control group,the difference was statistically significant(t=15.402,14.480,18.950,P<0.05).The rate of polyhydramnios in the observation group was 5.33%,the rate of postpartum hemorrhage was 0.00%,the rate of fetal distress was 0.00%,the rate of neonatal asphyxia was 2.00%,and the rate of preterm delivery was 0.00%.The control group was 21.33%,8.67%,6.00%,14.00%,6.67%,the difference between the groups was statistically significant(χ²=11.079,9.063,6.186,9.783,6.900,P<0.05).Conclusion The use of exercise therapy to treat patients with gestational diabetes can effectively improve the patient's blood glucose level and glycosylated globin level,reduce the incidence of adverse pregnancy outcomes,and play an extremely important role in protecting the life safety of mothers and infants.It is worthy of clinical application.