摘要
目的分析个体化营养支持联合等长抗阻运动在妊娠期糖尿病(GDM)患者孕期护理中的应用效果。方法选取2021年6月—2023年1月滨州医学院附属医院收治的100例GDM患者为研究对象,按随机数字表法将其分为对照组及观察组,每组50例。对照组采用常规护理,观察组采用个体化营养支持联合等长抗阻运动干预,均持续护理直至患者出院。对比两组患者的血糖指标、血清脂肪因子、不良妊娠结局及生活质量。结果护理后,观察组的空腹血糖、餐后2 h血糖、糖化血红蛋白水平分别为(5.37±0.13)mmol/L、(6.51±0.42)mmol/L、(5.31±0.35)%,均低于对照组,组间差异有统计学意义(P<0.05)。护理后,观察组的脂联素水平为(12.16±1.15)ng/L,高于对照组,内脂素、瘦素水平分别为(17.08±1.56)ng/L、(14.51±1.18)ng/L,均低于对照组,组间差异有统计学意义(P<0.05)。护理后,观察组的生活质量综合评定问卷评分高于对照组,差异有统计学意义(P<0.05)。观察组的不良妊娠结局发生率为4.00%,低于对照组的18.00%,差异有统计学意义(P<0.05)。结论个体化营养支持联合等长抗阻运动在GDM患者孕期护理中的应用效果显著,能有效调节其血糖指标,改善血清脂肪因子水平,降低不良妊娠结局发生率,提高生活质量。
Objective To analyze the application effect of individualized nutritional support combined with isometric resistance exercise in the pregnancy nursing of patients with gestational diabetes mellitus(GDM).Methods 100 GDM patients admitted to the Affiliated Hospital of Binzhou Medical College from June 2021 to January 2023 were selected as the study objects,and were divided into a control group and an observation group according to random number table method,with 50 cases in each group.The control group received routine nursing,and the observation group received individualized nutrition support combined with isometric resistance exercise intervention.Both groups were continuously cared for until discharge.The blood glucose indexes,serum adipokine,adverse pregnancy outcome and quality of life were compared between the two groups.Results After nursing,the levels of fasting blood glucose,2 h postprandial blood glucose and glycosylated hemoglobin in the observation group were(5.37±0.13)mmol/L,(6.51±0.42)mmol/L and(5.31±0.35)%,respectively,lower than those in the control group,the differences between the groups were statistically significant(P<0.05).After nursing,the adiponectin level in the observation group was(12.16±1.15)ng/L,higher than that in the control group,and the levels of lactone and leptin were(17.08±1.56)ng/L and(14.51±1.18)ng/L,respectively,lower than those in the control group,the differences between the groups were statistically significant(P<0.05).After nursing,the Generic Quality of Life Inventory-74 score of the observation group was higher than those of the control group,and the difference between the groups was statistically significant(P<0.05).The incidence of adverse pregnancy outcome in the observation group was 4.00%,lower than 18.00%in the control group,and the difference was statistically significant(P<0.05).Conclusion The application of individualized nutrition support combined with isometric resistance exercise in pregnancy nursing of GDM patients is significant,which can effectively regulate their blood glucose indexes,improve the serum adipokine levels,reduce the incidence of adverse pregnancy outcomes,and improve the quality of life.
作者
张思思
王小玲
董青青
ZHANG Sisi;WANG Xiaoling;DONG Qingqing(Department of Obstetrics,Affiliated Hospital of Binzhou Medical College,Binzhou Shandong,256600,China;Postpartum Rehabilitation Clinic,Binzhou Medical College Affiliated Hospital,Binzhou Shandong,256600,China)
出处
《反射疗法与康复医学》
2023年第23期73-76,共4页
Reflexology And Rehabilitation Medicine
关键词
妊娠期糖尿病
个体化营养支持
等长抗阻运动
血糖指标
血清脂肪因子
不良妊娠结局
生活质量
Gestational diabetes mellitus
Individualized nutritional support
Isometric resistance exercise
Blood glucose indexes
Serum adipose factor
Adverse pregnancy outcomes
Quality of life
