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目的探讨医学营养疗法联合运动疗法治疗妊娠期糖尿病的效果及对血糖的影响。方法选取2015年3月—2016年3月收治的妊娠期糖尿病患者180例,随机分为对照组和观察组各90例,对照组行常规饮食疗法治疗,对观察组行个体化医学营养疗法和运动疗法联合治疗,比较两组效果与对血糖的影响,采用SPSS20.0进行统计学分析,P<0.05为差异有统计学意义。结果观察组切口感染、巨大儿、产后出血与早产等妊娠结局所占比例分别为0.00%、2.22%、0.00%、1.11%,对照组分别为15.56%、17.78%、15.56%、17.78%,两组比较差异均有统计学意义(χ~2=15.18、12.10、15.18、14.62、15.80,均P<0.05);观察组血脂、血糖水平与对照组比较,差异均有统计学意义(均P<0.05)。结论妊娠期糖尿病者应用个体化医学营养疗法和运动疗法联合治疗可优化妊娠结局,且促进患者血脂及血糖指标改善,具有较高临床推广价值。
Objective To investigate the effect of medical nutrition therapy combined with exercise therapy on gestational diabetes mellitus and its influence on blood glucose. Methods 180 cases of gestational diabetes mellitus admitted from March 2015 to March 2016 were randomly divided into control group and observation group with 90 cases each. The control group was treated with routine diet therapy, and the observation group received individualized medical nutrition therapy and exercise Therapy combination therapy, the two groups were compared with the effect on blood glucose, using SPSS20.0 for statistical analysis, P <0.05 for the difference was statistically significant. Results The proportion of pregnancy outcomes such as incisional infection, macrosomia, postpartum hemorrhage and preterm delivery were 0.00%, 2.22%, 0.00% and 1.11% in the observation group and 15.56%, 17.78%, 15.56% and 17.78% respectively in the control group (Χ ~ 2 = 15.18,12.10,15.18,14.62,15.80, all P <0.05). There was significant difference in the level of blood lipid and blood glucose in the observation group compared with the control group (all P < 0.05). Conclusion Gestational diabetes mellitus using individualized medical nutrition therapy combined with exercise therapy can optimize the pregnancy outcome and promote the improvement of blood lipid and blood glucose in patients with high clinical value.