目的 探讨运动疗法联合个体化营养干预对妊娠期糖尿病患者血糖及分娩结局的影响.方法 将88例妊娠期糖尿病患者按照随机数字表法分为研究组与对照组各44例.两组均给予常规干预,研究组在此基础上给予运动疗法联合个体化营养干预.于干预前后比较两组体质量指数、空腹血糖及餐后2 h血糖,比较两组分娩结局.结果 干预后研究组体质量指数、空腹血糖及餐后2 h血糖均显著低于对照组(P＜0.05或0.01),研究组羊水过多、新生儿呼吸窘迫综合征、剖宫产、巨大儿、产后出血、早产发生率均显著低于对照组(P＜0.05或0.01).结论 运动疗法联合个体化营养干预可有效降低妊娠期糖尿病患者的血糖水平,控制体质量指数,改善分娩结局.%Objective To investigate the effects of exercise therapy combined with individualized nutrition intervention on blood glucose and delivery outcome in patients with gestational diabetes mellitus. Method 88 patients with GDM were randomly divided into the observation group (n =44) and the control group(n =44). The two groups were all given conventional intervention, and the observation group was given exercise therapy combined with individualized nutrition intervention on this basis. BMI, FPG, 2 h post-prandial plasma glucose and delivery outcomes of the two groups were compared before and after intervention. Results After intervention, BMI, FPG, 2 h postprandial plasma glucose of the observation group were all significantly lower than those of the control group (P＜0.05 or 0.01),occurrence rates of polyhydramnios, NRDS,cesarean delivery, fetal macrosomia, postpartum hemorrhage, premature delivery in the observation group were all significantly lower than those in the control group (P＜0.05 or 0.01). Conclusion The application of exercise therapy combined with individual nutrition intervention on patients with gestational diabetes mellitus can effectively reduce blood sugar, control body mass index and improve the delivery outcome.
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