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不同类型运动在妊娠期糖尿病患者中的应用价值

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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.
Application Value of Different Types of Exercise in Patients with Gestational Diabetes
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.

sportsgestational diabetesblood glucoseblood pressureblood fat

刘羽、韦静

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合肥市第一人民医院南区合肥市滨湖医院产科(安徽 合肥 230000)

运动 妊娠期糖尿病 血糖 血压 血脂

2024

长治医学院学报
长治医学院

长治医学院学报

影响因子:0.609
ISSN:1006-0588
年,卷(期):2024.38(6)