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目的观察个体化饮食治疗与运动指导对妊娠期糖尿病的影响。方法按国际糖尿病与妊娠研究组(IADPSG)新标准,对诊断为妊娠期糖尿病的209例孕妇随机分为2组,对照组104例,观察组105例。对照组进行常规的治疗,观察组进行个体化饮食治疗及运动指导,观察2组患者的血糖变化以及母婴的并发症。结果观察组血糖控制效果优于对照组,差异有统计学意义(P<0.01),观察组子痫前期、霉菌性阴道炎、羊水过多、巨大儿、早产的发生率低于对照组,差异有统计学意义(P<0.01)。结论个体化饮食治疗与运动指导是妊娠期糖尿病患者安全有效的治疗方法,应在临床上大力推广使用。
Objective To observe the effect of individualized diet therapy and exercise instruction on gestational diabetes mellitus. Methods According to the new standard of International Diabetes and Pregnancy Study Group (IADPSG), 209 pregnant women diagnosed with gestational diabetes mellitus were randomly divided into two groups: control group (104 cases) and observation group (105 cases). The control group was treated routinely, and the observation group was given individualized dietary therapy and exercise instruction to observe the changes of blood glucose and maternal and infant complications in the two groups. Results The observation group had better blood glucose control effect than the control group (P <0.01). The incidence of preeclampsia, mycotic vaginitis, polyhydramnios, giant macrosomia and prematurity in the observation group was lower than that in the control group There was statistical significance (P <0.01). Conclusion Individualized dietary therapy and exercise instruction are safe and effective treatment for gestational diabetes mellitus patients and should be promoted clinically.