适量运动联合食疗对二胎妊娠糖尿病患者血糖控制的研究

目的探讨运动联合个性化食疗对妊娠糖尿病患者的血糖控制效果,从而为二胎妊娠糖尿病孕妇的治疗提供临床依据。方法将临床上就诊的150例二胎妊娠糖尿病患者作为研究对象,年龄28~45岁,孕周24~28周,以运动和个性化食疗作为治疗手段,根据临床研究设计,随机分成运动组、食疗组、运动联合食疗组,每组50例,观察各组的临床疗效。结果与治疗前相比,运动组、食疗组、运动联合食疗组在经过1个月的坚持治疗后,患者空腹血糖及服糖后1、2、3h血糖都明显降低,差异有统计学意义(P<0.05);运动组和食疗组治疗总满意度差异无统计学意义(P>0.05),运动联合食疗组与运动组、食疗组的治疗总满意度差异有统计学意义(P<0.05)。结论适量运动联合食疗对二胎妊娠糖尿病患者血糖控制效果明显,值得临床推荐。

Study of moderate exercise combined with diet therapy on blood glucose control in patients with second gestational diabetes mellitu

Objective To explore the effect of exercise combined with individualized diet therapy on blood glucose control in the patients with gestational diabetes mellitus(GDM)so as to provide a clinical basis for the treatment of GDM in second pregnant women.Methods One hundred and fifty second pregnancy cases of GDM,aged 28-45 years old and 24-28 gestational weeks,served as the study subjects.The exercise and individualized diet therapy served as the treatment methods.The cases were randomly divided into the exercise group,diet therapy group and exercise combined with diet therapy group according to the clinical study design,50 cases in each group.The clinical effect was observed in each group.Results Compared with before treatment,the fasting blood glucose and blood glucose at 1,2,3 hafter taking sugar after one month of persistent treatment in the exercise group,diet therapy group and exercise combined with diet group were decreased significantly,and the differences were statistically significant(P<0.05).There was no statistically significant difference in the total treatment satisfaction between the exercise group and diet therapy group(P>0.05).There was statistically significant difference in the total treatment satisfaction between the exercise combined with diet therapy group with the exercise group and diet therapy group(P<0.05).Conclusion The moderate exercise combined with diet therapy has obvious effect on blood glucose control in the second pregnant patients with GDM,which is worthy of clinical recommendation.