CAJ | 학술논문

目的：：观察饮食控制结合运动对孕产妇妊娠结局的影响。方法：选择孕产妇98例，所有孕产妇均进行糖耐量试验，并分为对照组和干预组，每组各49例。对照组孕产妇采用常规的饮食指导；干预组孕产妇在对照组基础上根据具体情况调整饮食方案。比较两组孕产妇干预前、干预2个疗程后的空腹血糖、餐后2 h血糖和糖化血红蛋白( HbAlc)。同时比较两组孕产妇的妊娠高血压病、羊水过多、胎膜早破、剖宫产、新生儿窒息、巨大儿、产后出血及早产儿等的发生情况。结果：两组孕产妇妊娠高血压病、羊水过多、胎膜早破、早产儿和新生儿窒息发生率无明显差异；干预组孕产妇剖宫产率、尿路感染发生率和巨大儿发生率均明显低于对照组(P<0.05)；干预组孕产妇空腹血糖、餐后2 h血糖、HbAlc明显低于对照组(P<0.05)。结论：饮食控制结合适度的运动对控制孕产妇血糖和降低母婴并发症的效果优于单纯常规的饮食指导效果。
목적：：관찰음식공제결합운동대잉산부임신결국적영향。방법：선택잉산부98례，소유잉산부균진행당내량시험，병분위대조조화간예조，매조각49례。대조조잉산부채용상규적음식지도；간예조잉산부재대조조기출상근거구체정황조정음식방안。비교량조잉산부간예전、간예2개료정후적공복혈당、찬후2 h혈당화당화혈홍단백( HbAlc)。동시비교량조잉산부적임신고혈압병、양수과다、태막조파、부궁산、신생인질식、거대인、산후출혈급조산인등적발생정황。결과：량조잉산부임신고혈압병、양수과다、태막조파、조산인화신생인질식발생솔무명현차이；간예조잉산부부궁산솔、뇨로감염발생솔화거대인발생솔균명현저우대조조(P<0.05)；간예조잉산부공복혈당、찬후2 h혈당、HbAlc명현저우대조조(P<0.05)。결론：음식공제결합괄도적운동대공제잉산부혈당화강저모영병발증적효과우우단순상규적음식지도효과。
Objective:To investigate effects of diet control combined with exercise therapy on pregnancy outcome of pregnant women. Methods:98 pregnant women were selected. All of them accepted oral glucose tolerance test (OGTT), and then were divided into control group and intervention group, 49 cases in each group. control group received conventional dietary guidance, while interven-tion group's diet plan was adjusted according to patients' specific conditions based on that of control group. The fasting blood glucose, postprandial 2 hours blood glucose, glycosylated hemoglobin ( HbAlc) before and after two courses of the treatment of the two groups were compared. At the same time, the occurrences of hypertensive disease of pregnancy, polyhydramnios, premature rupture of mem-branes, cesarean delivery, neonatal asphyxia, fetal macrosomia, postpartum hemorrhage, and premature infant were compared between the two groups. Results:The incidences of hypertensive disease of pregnancy, polyhydramnios, premature rupture of membranes, pre-mature infants, and neonatal asphyxia had no obvious differences between the two groups. The rate of cesarean section and occurrences of urinary tract infection and fetal macrosomia in intervention group were significantly lower than those in control group (P<0. 05). Be-fore the treatment, the fasting blood glucose, postprandial 2 hours blood glucose, and HbAlc had no significantly differences between the two groups;while after the treatment, those in intervention group were significantly lower than those in control group (P<0. 05). Conclusions:The diet control combined with moderate physical exercise is beneficial to control blood glucose leve and reduce the risk of maternal and fetal complications, and its effects are better than single conventional dietary guidance.