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目的 评价饮食疗法及在饮食疗法基础上加用运动锻炼或胰岛素治疗对妊娠糖尿病的治疗效果。方法 对妊娠期血糖异常 5 19例分为A、B、C三组 ,观察每组治疗与未治疗者之间母儿并发症的发生情况。治疗方法为单项饮食管理或加用运动锻炼及胰岛素治疗。结果 饮食疗法总有效率为 92 97% ,A组为 98 2 6 % ;B组为 85 6 0 % ;C组为 6 8 2 3 %。在饮食疗法基础上运动锻炼有效率为 82 35 % ,胰岛素治疗有效率为 87 5 0 % ;治疗者母儿并发症较未治疗者明显减少 (P <0 0 5 )。结论 饮食疗法是治疗妊娠期糖尿病的主要方法 ,治疗效果不理想者可加用运动锻炼和 (或 )胰岛素治疗 ,治疗有效者其母儿并发症发生率明显下降。
Objective To evaluate diet therapy and diet therapy based on the use of exercise or insulin treatment of gestational diabetes treatment. Methods Five hundred and nineteen patients with abnormal blood glucose during pregnancy were divided into three groups: A, B and C, and the incidence of maternal and child complications was observed between the two groups. Treatment for individual diet management or exercise plus exercise and insulin therapy. Results The total effective rate of diet therapy was 92 97% in group A, 98 26% in group A, 85 60% in group B, and 6 823% in group C. On the basis of diet therapy, the effective rate of exercise training was 82.35%, and the effective rate of insulin therapy was 87.5%. The incidence of maternal and child complications in treatment group was significantly lower than that in the untreated group (P <0.05). Conclusion Diet therapy is the main method for the treatment of gestational diabetes. If the treatment effect is not satisfactory, exercise exercise and / or insulin therapy may be used. If the treatment is effective, the incidence of maternal and child complications is significantly decreased.