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目的探讨个体化医学营养治疗及运动指导对妊娠期糖尿病(GDM)孕妇的应用效果。方法 200例GDM孕妇随机分为干预组和对照组,干预组(100例)接受个体化医学营养治疗及运动指导,对照组(100例)接受一般饮食指导;比较两组的血糖及妊娠结局情况。结果两组的空腹血糖值差异无统计学意义(P>0.05);干预组餐后2 h血糖、糖化血红蛋白的水平均明显低于对照组(P<0.05);干预组剖宫产率、不良母婴结局的发病率明显低于对照组(P<0.05)。结论合理的个体化医学营养治疗及运动指导可有效调节孕妇的血糖水平并改善妊娠结局。
Objective To explore the effect of individualized medical nutrition therapy and exercise instruction on pregnant women with gestational diabetes mellitus (GDM). Methods 200 pregnant women with GDM were randomly divided into intervention group and control group. Intervention group (100 cases) received individualized medical nutrition therapy and exercise instruction, and control group (100 cases) received general diet guidance. Blood glucose and pregnancy outcome were compared between the two groups . Results There was no significant difference in fasting blood glucose between the two groups (P> 0.05). The levels of blood glucose and glycosylated hemoglobin at 2 h after meal in the intervention group were significantly lower than those in the control group (P <0.05) The incidence of maternal and infant outcomes was significantly lower than that of the control group (P <0.05). Conclusion Reasonable personalized medical nutrition therapy and exercise guidance can effectively regulate the blood sugar level of pregnant women and improve the pregnancy outcome.