CAJ | 학술논문

目的：探讨饮食运动控制对妊娠期糖尿病妊娠结局的影响。方法选取我院妇产科接诊的120例妊娠期糖尿病患者作为研究对象，随机分为治疗组和对照组各60例，对照组患者接受常规治疗，治疗组在进行常规治疗的同时，进行饮食控制、运动指导，对比两组患者的妊娠结局。结果治疗组治疗后的FPG、2hPG水平均显著低于对照组（P＜0.05）；治疗组产妇的产后感染、产后出血、剖宫产、早产、羊水过多、妊高症发生率，均显著低于对照组（P＜0.05），同时巨大儿、新生儿窒息、死胎、胎儿畸形、胎儿窘迫发生率也显著低于对照组，差异均具有统计学意义（P＜0.05）。结论对妊娠期糖尿病孕妇实施针对性饮食控制和运动指导，能有效提高血糖控制效果，改善妊娠结局，具有重要的应用价值。
목적：탐토음식운동공제대임신기당뇨병임신결국적영향。방법선취아원부산과접진적120례임신기당뇨병환자작위연구대상，수궤분위치료조화대조조각60례，대조조환자접수상규치료，치료조재진행상규치료적동시，진행음식공제、운동지도，대비량조환자적임신결국。결과치료조치료후적FPG、2hPG수평균현저저우대조조（P＜0.05）；치료조산부적산후감염、산후출혈、부궁산、조산、양수과다、임고증발생솔，균현저저우대조조（P＜0.05），동시거대인、신생인질식、사태、태인기형、태인군박발생솔야현저저우대조조，차이균구유통계학의의（P＜0.05）。결론대임신기당뇨병잉부실시침대성음식공제화운동지도，능유효제고혈당공제효과，개선임신결국，구유중요적응용개치。
Objective To explore the outcome effect of diet and exercise in the control of gestational diabetes. Methods 120 cases with gestational diabetes in obstetrics and gynecology department of our hospital were selected,and they were randomly divided into the treatment group and the control group (each had 60 cases),the patients in the control group were received conventional therapy,the patients in the treatment group were received conventional therapy and diet control,exercise guidance,compared the outcome of the two groups.ResultsThe FPG、2hPG levels of the treatment were significantly lower than the control group(P<0.05);Meanwhile,the incidence of huge children,neonatal asphyxia, stillbirth,fetal malformations,fetal distress were also significantly lower than the control group,the differences had statistically significant(P<0.05). Conclusion It can effectively improve glycemic control,improve pregnancy outcomes of targeted diet control and exercise guidance for pregnant women with gestational diabetes,it has important applications.