CAJ | 학술논문

目的：探讨运动疗法与中医饮食干预对妊娠期糖尿病患者的妊娠结局影响。方法将130例妊娠期糖尿病孕妇随机分为试验组65例与对照组65例。对照组予以自我调节与自我干预，要求自我进行低糖饮食与散步运动；试验组予以分阶段的运动疗法与中医饮食干预，所有的干预活动都持续到孕妇分娩时。观察2组孕妇的伴发疾病与分娩预后，同时观察新生儿疾病的发病状况。结果治疗后，试验组的羊水指数、孕期增长体重、分娩体重、空腹血糖及餐后2 h血糖值都明显低于对照组（ P＜0.05）。试验组剖宫产率23.08％显著低于对照组剖宫产率49.23％（ P＜0.05）。试验组的妊娠高血压疾病、早产、羊水过多、胎儿窘迫、产后出血的发病率都明显低于对照组（ P＜0.05）。试验组的新生儿窒息、新生儿低血糖与新生儿高胆红素血症的发病率都明显低于对照组（ P＜0.05）。结论安全有效的运动疗法与中医饮食干预有利于改善妊娠糖尿病孕妇对葡萄糖的有效利用，改善妊娠期指标，减少剖宫产，保障母婴安全健康。
목적：탐토운동요법여중의음식간예대임신기당뇨병환자적임신결국영향。방법장130례임신기당뇨병잉부수궤분위시험조65례여대조조65례。대조조여이자아조절여자아간예，요구자아진행저당음식여산보운동；시험조여이분계단적운동요법여중의음식간예，소유적간예활동도지속도잉부분면시。관찰2조잉부적반발질병여분면예후，동시관찰신생인질병적발병상황。결과치료후，시험조적양수지수、잉기증장체중、분면체중、공복혈당급찬후2 h혈당치도명현저우대조조（ P＜0.05）。시험조부궁산솔23.08％현저저우대조조부궁산솔49.23％（ P＜0.05）。시험조적임신고혈압질병、조산、양수과다、태인군박、산후출혈적발병솔도명현저우대조조（ P＜0.05）。시험조적신생인질식、신생인저혈당여신생인고담홍소혈증적발병솔도명현저우대조조（ P＜0.05）。결론안전유효적운동요법여중의음식간예유리우개선임신당뇨병잉부대포도당적유효이용，개선임신기지표，감소부궁산，보장모영안전건강。
Objective To investigate the effects of exercise therapy and traditional Chinese dietary intervention to pregnancy outcomes in patients with gestational diabetes.Methods One hundred thirty patients with gestational diabetes were equally divided into treatment group and control group based on the random number table , the control group were received conventional intervention that included low -carb diets and walking mo-tion, the treatment group were received exercise therapy and traditional Chinese dietary intervention , all interventions were continued to pregnant clildbirth, the pregnancy and newborn outcomes were observed.Results The amniotic fluid index , body weight increase during pregnancy , birth weight , fasting glucose and 2 h postprandial blood glucose in the treatment group were significantly lower than that of control group ( P<0.05).The cesarean section rates in the treatment and control group were 23.08%, and 49.23%, significantly difference ( P<0.05 ).The hypertensive disorders of pregnancy , prematurity , polyhydramnios , fetal distress , postpartum hemorrhage incidence rates in the treatment group were significantly lower than that of control group ( P<0.05 ).The neonatal asphyxia , neonatal hypoglycemia neonatal hyperbilirubinemia incidences in the treatment group were significantly lower than that in control group ( P<0.05 ).Conclusion The safe and effective exercise therapy and traditional Chinese dietary inter-vention can help to improve the effective use of glucose in pregnant women with gestational diabetes , improve pregnancy indicators and reduce the cesarean section , and give safety protection for maternal and child health.