首页|抗阻运动结合营养护理在妊娠期糖尿病合并高脂血症中的应用效果

抗阻运动结合营养护理在妊娠期糖尿病合并高脂血症中的应用效果

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目的 探讨抗阻运动结合营养护理在妊娠期糖尿病合并高脂血症中的应用效果。方法 选取2020年1月至 2021 年 12 月收治的 96 例妊娠期糖尿病合并高脂血症孕产妇为研究对象,以随机法将其分为常规组(48例,常规运动指导结合营养护理)和观察组(48例,抗阻运动结合营养护理)。比较两组的干预效果。结果 干预后,观察组的空腹血糖(FPG)、餐后 2h血糖(2hPG)及糖化血红蛋白(HbAlc)均低于常规组(P<0。05)。干预后,观察组的总胆固醇(TC)、甘油三酯(TG)及低密度脂蛋白胆固醇(LDL-C)水平低于常规组,高密度脂蛋白(HDL)水平高于常规组(P<0。05)。观察组的运动总依从率高于常规组(P<0。05)。干预后 1、2个月,观察组的平均血糖波动幅度(MAGE)、日间血糖平均绝对差(MODD)低于常规组(P<0。05)。观察组的不良妊娠结局总发生率低于常规组(P<0。05)。结论 抗阻运动结合营养护理可改善妊娠期糖尿病合并高脂血症孕产妇的血糖、血脂水平,提升运动依从性,降低不良妊娠结局发生率,取得理想的干预效果。
Application effect of resistance exercise combined with nutritional nursing in gestational diabetes mellitus complicated with hyperlipidemia
Objective To explore the application effect of resistance exercise combined with nutritional nursing in gestational diabetes mellitus complicated with hyperlipidemia.Methods A total of 96 pregnant women with gestational diabetes mellitus complicated with hyperlipidemia admitted from January 2020 to December 2021 were selected as the research objects.The pregnant women were randomly divided into routine group(48 cases,routine exercise guidance combined with nutritional nursing)and observation group(48 cases,resistance exercise combined with nutritional nursing).The intervention effects of the two groups were compared.Results After intervention,the fasting plasma glucose(FPG),2 h postprandial plasam glucose(2 h PG)and glycated hemoglobin(HbAlc)in the observation group were lower than those in the routine group(P<0.05).After intervention,the levels of total cholesterol(TC),triglyceride(TG)and low density lipoprotein-cholesterol(LDL-C)in the observation group were lower than those in the routine group,and the level of high-density lipoprotein(HDL)was higher than that in the routine group(P<0.05).The total exercise compliance rate of the observation group was higher than that of the routine group(P<0.05).At 1 and 2 months after intervention,the mean amplitude of glycemic excursions(MAGE)and mean absolute difference in daytime blood glucose(MODD)in the observation group were lower than those in the routine group(P<0.05).The total incidence of adverse pregnancy outcomes in the observation group was lower than that in the routine group(P<0.05).Conclusion Resistance exercise combined with nutritional nursing can improve the blood glucose and blood lipid levels of pregnant women with gestational diabetes mellitus complicated with hyperlipidemia,improve exercise compliance,reduce the incidence of adverse pregnancy outcomes,and achieve ideal intervention effects.

gestational diabetes mellitushyperlipidemiaresistance exercisenutritional nursing

魏翠翠、李慧

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咸阳市中心医院产科,陕西 咸阳,712000

西安市第五医院妇产科,陕西 西安,710082

妊娠期糖尿病 高脂血症 抗阻运动 营养护理

2024

临床医学研究与实践

临床医学研究与实践

ISSN:
年,卷(期):2024.9(10)
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