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妊娠期糖尿病有氧运动联合抗阻运动的应用分析

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目的 分析妊娠期糖尿病(GDM)孕妇采用有氧运动联合抗阻运动对血糖和妊娠结局的影响.方法 选取福建省安溪县湖头医院2022年3月-2023年2月收治的GDM患者92例,经随机数字表法分为对照组和干预组各46例.对照组给予常规健康教育,干预组给予有氧运动联合抗阻运动.干预6周后,比较两组空腹血糖(FBG)、餐后2 h血糖(2hPBG)、分娩方式及不良妊娠结局发生率.结果 干预前,两组FBG、2hPBG水平比较,差异无统计学意义(P>0.05);干预后,干预组 FBG、2hPBG 水平为(4.95±1.47)和(6.58±1.25)mmol/L,均低于对照组的(5.68±1.73)和(7.31±1.56)mmol/L,差异均有统计学意义(t=-2.181、-2.477,P<0.05).两组剖宫产率比较,差异无统计学意义(P>0.05);干预组早产、新生儿窒息、巨大儿、胎儿窘迫及胎儿生长受限发生率均低于对照组,差异均有统计学意义(P<0.05).结论 有氧运动联合抗阻运动能够降低GDM患者的血糖水平,减少不良妊娠结局的发生,值得临床推广应用.
The application analysis of aerobic exercise combined with resistance exercise in gestational diabetes mellitus
Objective To analyze the influnce of aerobic exercise combined with resistance exercise on blood glucose and pregnancy outcomes in pregnant women with gestational diabetes mellitus(GDM).Methods A total of 92 patients with GDM treated in Fujian Province Anxi County Hutou Hospital from March 2022 to February 2023 were selected and divided into control group and intervention group with 46 cases in each group by random number table method.The control group received routine health education and the intervention group received aerobic exercise combined with resistance exercise.Six weeks after the intervention,the fasting blood glucose(FBG),2 hours postprandial blood glucose(2hPBG),delivery method and the incidence of adverse pregnancy outcomes were compared between the two groups.Results Before intervention,there were no statistically significant differences in FBG and 2hPBG levels between the two groups(P>0.05);after intervention,the levels of FBG and 2hPBG in the intervention group were(4.95±1.47)and(6.58±1.25)mmol/L,which were lower than those in the control group with(5.68±1.73)and(7.31±1.56)mmol/L,and the differences were statistically significant(t=-2.181,-2.477,P<0.05).There was no statistically significant difference in the cesarean section rates between the two groups(P>0.05);the incidences of premature birth,neonatal asphyxia,macrosomia,fetal distress and fetal growth restriction in the intervention group were lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusion Aerobic exercise combined with resistance exercise could reduce the blood glucose level of patients with GDM and reduce the occurrence of adverse pregnancy outcomes,which was worthy of clinical promotion and application.

Gestational diabetes mellitusAerobic exerciseResistance exerciseBlood glucosePregnancy outcome

李秀香、赵丽恋

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福建省安溪县湖头医院妇产科,福建 泉州 362400

福建省安溪县妇幼保健院妇产科

妊娠期糖尿病 有氧运动 抗阻运动 血糖 妊娠结局

2024

中国城乡企业卫生
中华预防医学会 天津市职业病防治院

中国城乡企业卫生

影响因子:0.239
ISSN:1003-5052
年,卷(期):2024.39(12)