摘要
目的:探究不同类型运动在妊娠期糖尿病患者中的应用价值.方法:选取妊娠期糖尿病患者95 例,随机分为对照组(48 例)、观察组(47 例).2 组分别进行步行运动、步行运动联合坐位举哑铃抗阻运动.分别于干预前、干预4 周、干预12 周对患者进行体格指标[舒张压(SBP)、收缩压(DBP)]、临床相关指标[空腹血糖(FPG)、餐后 2h 血糖(2hPG)、糖化血统蛋白(HbA1c)、甘油三酯(TG)、总胆固醇(TC)]进行监测,并对患者妊娠结局进行统计.结果:最终对照组41 例、观察组 42 例完成研究;2 组患者干预4 周、干预 12 周FPG、2hPG、HbA1c、TG、TC均低于干预前,2 组患者干预 12 周SBP、DBP 低于干预前,差异有统计学意义(P<0.05);观察组干预4 周、干预12 周FPG、2hPG、HbA1c、TG均低于对照组,观察组运动干预12 周SBP、DBP低于对照组,差异有统计学意义(P<0.05);2 组母体妊娠结局、胎儿妊娠相关指标差异均无统计学意义(P>0.05).结论:2 种运动形式均可改善妊娠期糖尿病患者血糖、血脂、血压水平,但常规运动加抗阻运动效果更优.
Abstract
Objective:To explore the application value of different types of exercise in patients with gestational diabetes.Meth-ods:95 patients with gestational diabetes were randomly divided into control group(48 cases)and observation group(47 cases).The two groups performed walking exercise,walking exercise and sitting dumbbell resistance exercise respectively.The physical in-dexes[systolic blood pressure(SBP),diastolic blood pressure(DBP)],clinical related indicators[fasting blood glucose(FPG),2h postprandial blood glucose(2hPG),glycosylated blood lineage protein(HbA1c),triglycerides(TG),and total cho-lesterol(TC)]were monitored before the intervention,4 weeks of the intervention,and 12 weeks of the intervention,respectively.The pregnancy outcome of the patients was statistically analyzed.Results:41 cases in the final control group and 42 cases in the ob-servation group completed the study.The FPG,2hPG,HbA1c,TG,and TC in 2 groups of patients were lower than before the in-tervention at 4 and 12 weeks,respectively.The SBP and DBP in 2 groups of patients at 12 weeks were lower than before the inter-vention,and the difference was statistically significant(P<0.05).FPG,2hPG,HbA1c and TG of the observation group were low-er than those of the control group at 4 weeks and 12 weeks,and SBP and DBP of the observation group were lower than those of the control group at 12 weeks,and the differences were statistically significant(P<0.05).There were no significant difference in ma-ternal pregnancy outcomes and fetal pregnancy related indexes between the two groups(P>0.05).Conclusion:Both kinds of exer-cise can improve the levels of blood glucose,blood lipids and blood pressure in patients with gestational diabetes,but the effect of conventional exercise plus resistance exercise is better.
维普
万方数据