生活方式干预对妊娠期糖尿病且产后糖耐量减低产妇体质量的影响

目的探讨生活方式干预对妊娠期糖尿病且产后糖耐量减低产妇体质量的影响。方法将130例妊娠期糖尿病并在产后第6～8周复查被诊断为糖耐量减低的产妇，分为干预组68例和对照组62例。对干预组进行为期4个月的生活方式干预。为对照组讲解预防糖尿病相关知识，并电话提醒复查。两组产妇在干预前后复查体质量状况，干预组在干预期间每个月自测一周的体质量。结果生活方式干预后，干预组研究对象体质量状况改善程度明显大于对照组（P〈O．01）；干预期间，干预组体质量状况的改善程度随时间呈下降趋势，干预的第1个月体质量状况的改善程度最大，干预的第4个月体质量状况的改善程度最小（P〈0．01）。结论生活方式干预可以有效改善妊娠期糖尿病且产后糖耐量减低产妇的体质量状况。

Effects of lifestyle intervention on the weight of postpartum women with gestational diabetes mellitus and impaired glucose tolerance

Objective To explore the effects of lifestyle intervention on the weight of postpartum women with gestational diabetes mellitus and impaired glucose tolerance. Methods A total of 130 women with gestational diabetes mellitus who were diagnosed impaired glucose tolerance at 6-8 weeks postpartum review were recruited randomly divided into the intervention group （n = 68 ） and the control group（ n = 62 ）. The intervention group was received lifestyle intervention until 4 months, while the control group was only introduced diabetes related knowledge and reminded of follow - up by telephone. The state of weight of the two groups were examined before and after intervention. The weight of the intervention group was measured every month during the intervention period. Results Compared two groups, the state of weight in the intervention group was significantly improved after intervention （ P 〈 0.01 ）. During the intervention period, the improvement of weight state in the intervention group were downward trend over time. The change in the first month after intervention was greater than any other month, and the fourth month after intervention was smaller than any other month （ P 〈 0. 01 ）. Conclusion The lifestyle intervention can significantly improve the state of weight in postpartum women with gestational diabetes mellitus and impaired glucose tolerance.