本文選題：妊娠期糖尿病　切入點(diǎn)：飲食運(yùn)動管理　出處：《中國婦幼健康研究》2016年12期 　論文類型：期刊論文

【摘要】：目的探討飲食控制和運(yùn)動管理在妊娠期糖尿病(GDM)中的應(yīng)用效果。方法選取青島市膠州中心醫(yī)院產(chǎn)科自2014年7月至2015年7月間收治的114例確診為妊娠期糖尿病的患者進(jìn)行實(shí)驗(yàn)研究,按照數(shù)字隨機(jī)原則將其分成三組,即對照組A患者38例未采取任何干預(yù),對照組B38例僅采用常規(guī)護(hù)理干預(yù),觀察組(38例)在常規(guī)護(hù)理基礎(chǔ)上行飲食控制和運(yùn)動管理干預(yù),測定三組孕婦干預(yù)前后的血糖含量變化;同時記錄母嬰并發(fā)癥情況、剖宮產(chǎn)率、新生兒轉(zhuǎn)兒科率。結(jié)果對照組A患者干預(yù)前后空腹血糖(FBG)、餐后2h血糖(2h PG)均無顯著性差異(t值分別為0.543、2.164,均P0.05),對照組B患者干預(yù)后血FBG、2h PG均顯著下降(t值分別為4.812、5.198,均P0.05),且均顯著低于對照組A干預(yù)后(t值分別為2.346、2.879,均P0.05),觀察組患者干預(yù)后血FBG、2h PG均顯著下降(t值分別為9.166、10.336,均P0.05),且均顯著低于對照組A和對照組B干預(yù)后(t值分別為3.908、4.568、2.065、2.978,均P0.05)。觀察組產(chǎn)婦并發(fā)癥、新生兒并發(fā)癥發(fā)生率均顯著低于對照組A組(χ2值分別為5.330、4.659,均P0.05),且產(chǎn)婦并發(fā)癥顯著低于對照組B(χ2=3.439,P0.05),但新生兒并發(fā)癥發(fā)生率無顯著性差異(χ2=1.401,P0.05)。觀察組產(chǎn)婦剖宮產(chǎn)率、新生兒轉(zhuǎn)兒科率均顯著低于對照組A(χ2值分別為4.070、4.145,均P0.05),但和對照組B比較均無顯著性差異(χ2值分別為0.957、2.235,均P0.05)。結(jié)論妊娠期糖尿病孕婦治療過程中加強(qiáng)對飲食運(yùn)動的管理干預(yù),能夠降低和避免孕婦、新生兒并發(fā)癥發(fā)生率,避免不良妊娠結(jié)局的發(fā)生,值得推廣。
[Abstract]:Objective to investigate the effect of diet control and exercise management on GDM in gestational diabetes mellitus (GDM). Methods 114 cases of gestational diabetes mellitus were selected from July 2014 to July 2015 in Department of obstetrics of Jiaozhou Central Hospital of Qingdao City. To carry out experimental research, According to the principle of digital randomization, 38 patients in control group A did not take any intervention, while the control group B 38 patients only accepted routine nursing intervention, while 38 patients in observation group received diet control and exercise management intervention on the basis of routine nursing. The changes of blood sugar content before and after intervention were measured, and the complications of mother and child, the rate of cesarean section were recorded. Results there was no significant difference in fasting blood glucose (FBGG), 2 h postprandial blood glucose (2h PG) before and after intervention in control group (P < 0.05), and there was no significant difference between two groups (P < 0.05). In control group B, serum FBGG 2 h PG decreased significantly (4.8125.198, P < 0.05). All of them were significantly lower than that of the control group (P < 0.05), and significantly lower than that of the control group (P < 0.05), respectively. The blood FBGN 2 h PG of the patients in the observation group decreased significantly after intervention, and the serum FBGG 2 h PG decreased significantly (P 0.05), respectively, and were significantly lower than those of the control group A and the control group B, respectively, and the t values were significantly lower than those of the control group A and the control group B, respectively. 3.908, 4.568, 2.065U, 2.978, all P0.05. complications in the observation group, The incidence of neonatal complications was significantly lower than that of control group A (蠂 2 = 5.330 鹵4.659, P 0.05, respectively), and the maternal complication was significantly lower than that of control group B (蠂 2, 3.439, P 0.05), but there was no significant difference in the incidence of neonatal complications (蠂 2, 1.401, P 0.05, 蠂 2, 1.401, P 0.05, 蠂 2, P 0.05). The rate of neonatal transition to paediatrics was significantly lower than that of the control group (蠂 ~ 2 = 4.070 ~ 4.145, P < 0.05), but there was no significant difference between the two groups (蠂 ~ 2 = 0.957 鹵2.235, P < 0.05). Conclusion during the treatment of pregnant women with gestational diabetes mellitus, the management and intervention of diet and exercise should be strengthened, and there is no significant difference between the two groups (蠂 ~ 2 = 0.957 鹵2.235, P < 0.05). It is worth popularizing to reduce and avoid the incidence of complications of pregnant women and neonates and to avoid adverse pregnancy outcomes.
【作者單位】： 青島市膠州中心醫(yī)院產(chǎn)科;
【分類號】：R473.71

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