首页|个案式营养追踪管理结合运动疗法对妊娠期糖尿病合并高血压患者的影响

个案式营养追踪管理结合运动疗法对妊娠期糖尿病合并高血压患者的影响

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目的:探讨个案式营养追踪管理结合运动疗法对妊娠期糖尿病(GDM)合并高血压患者的影响。方法:选择2022 年 1 月—2023 年 1 月海南现代妇女儿童医院收治的 60 例GDM合并高血压患者作为研究对象,按照随机数表法分为对照组(n=30)和观察组(n=30)。对照组实施运动疗法,观察组在对照组基础上加以个案式营养追踪管理,比较两组血糖、血脂、血压、不良母婴结局及生活质量。结果:干预后,两组空腹血糖(FPG)、餐后 2 h血糖(2 h PG)、甘油三酯(TG)、总胆固醇(TC)、低密度脂蛋白胆固醇(LDL-C)、收缩压(SBP)、舒张压(DBP)较干预前降低,且观察组低于对照组,高密度脂蛋白胆固醇(HDL-C)、简易生活质量评分量表(SF-36)评分较干预前升高,且观察组高于对照组,差异有统计学意义(P<0。05)。结论:个案式营养追踪管理结合运动疗法能改善GDM合并高血压患者血糖、血脂水平,增强血压控制,降低不良母婴结局发生率,改善生活质量。
Effect of Case Based Nutrition Tracking Management Combined with Exercise Therapy on Patients with Gestational Diabetes Mellitus Complicated with Hypertension
Objective:To explore the effect of case based nutrition tracking management combined with exercise therapy on patients with gestational diabetes mellitus(GDM)complicated with hypertension.Method:Sixty patients with GDM complicated with hypertension who admitted to Hainan Modern Women and Children's Hospital from January 2022 to January 2023 were selected as the study subjects,they were divided into the control group(n=30)and the observation group(n=30)according to the random number table method.The control group was given exercise therapy,and the observation group was given case based nutrition tracking management on the basis of the control group.The blood glucose,blood lipid,blood pressure,adverse maternal and infant outcomes and quality of life were compared between two groups.Result:After intervention,the levels of fasting plasma glucose(FPG),2 h postprandial glucose(2 h PG),triglyceride(TG),total cholesterol(TC),low density lipoprotein cholesterol(LDL-C),systolic blood pressure(SBP)and diastolic blood pressure(DBP)in two groups were lower than those before intervention,and which in the observation group were lower than the control group,the high density lipoprotein cholesterol(HDL-C)and simple quality of life scale(SF-36)scores were higher than those before intervention,and which in the observation group were higher than the control group,the differences were statistically significant(P<0.05).Conclusion:Case based nutrition tracking management combined with exercise therapy can improve blood glucose and lipid levels of patients with GDM complicated with hypertension,enhance blood pressure control,reduce the incidence of adverse maternal and infant outcomes,and improve the quality of life.

Case based nutrition tracking managementExercise therapyGestational diabetes mellitusHypertension

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海南现代妇女儿童医院 海南 海口 570100

个案式营养追踪管理 运动疗法 妊娠期糖尿病 高血压

海南省卫生健康行业科研项目

22A200111

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(1)
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