CAJ | 학술논문

目的：探讨生活方式干预对预防妊娠期糖尿病患者的作用。方法60例妊娠期糖尿病患者分为观察组与对照组各30例，对照组患者单纯给予常规胰岛素治疗，观察组患者另加以生活方式干预，观察两组患者的血糖控制及妊娠结局。结果干预前，两组患者空腹血糖、餐后2h血糖及糖化血红蛋白差异无统计学意义（P＞0．05）；干预后，两组患者上述指标均显著降低，且观察组降低更显著（ P＜0．05）。观察组患者合并妊高症、产后出血及胎膜早破等比例及围产儿并发症发生率均显著低于对照组（ P＜0．05）。结论生活方式干预能有效控制妊娠期糖尿病患者血糖水平，降低孕妇及围产儿并发症的发生。
목적：탐토생활방식간예대예방임신기당뇨병환자적작용。방법60례임신기당뇨병환자분위관찰조여대조조각30례，대조조환자단순급여상규이도소치료，관찰조환자령가이생활방식간예，관찰량조환자적혈당공제급임신결국。결과간예전，량조환자공복혈당、찬후2h혈당급당화혈홍단백차이무통계학의의（P＞0．05）；간예후，량조환자상술지표균현저강저，차관찰조강저경현저（ P＜0．05）。관찰조환자합병임고증、산후출혈급태막조파등비례급위산인병발증발생솔균현저저우대조조（ P＜0．05）。결론생활방식간예능유효공제임신기당뇨병환자혈당수평，강저잉부급위산인병발증적발생。
Objective To understand the effect of lifestyle intervention in preventing gestational diabetes.Method 60 patients of gestational diabetes were divided into an experimental group (n=30) and a control group (n=30).The control group was treated with conventional insulin therapy while the experimental group was treated with lifestyle intervention in addition to the conventional insulin therapy.The glycemic control and pregnancy outcomes of the two groups were then compared.Findings Before the intervention, no significant difference was found between the two groups in the level of fasting plasma glucose ( FPG ) , 2 h postprandial blood glucose ( 2 HPG ) and glycosylated hemoglobin ( HbAlc ) ( P>0.05).After the intervention, significant difference was found between the two groups in the level of fasting plasma glucose (FPG), 2 h postprandial blood glucose (2 HPG) and glycosylated hemoglobin ( HbAlc) ( P <0.05).The rates of postpartum hemorrhage, premature rupture of membranes, and perinatal complications in the experimental group was significantly lower than those in the control group.The difference was statistically significant ( P <0.05) Conclusion Lifestyle intervention can effectively control the blood sugar level and reduce pregnant women and perinatal complications in patients with gestational diabetes.