| 引用本文： |
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刘小杰,童本德,熊金萍,等.妊娠期糖尿病的生活方式干预管理[J].同济大学学报（医学版）,2016,37(4):99-103. [点击复制]
- LIU Xiao-jie,TONG Ben-de,XIONG Jin-ping,et al.Management of life behavior for gestational diabetes mellitus[J].同济大学学报（医学版）,2016,37(4):99-103. [点击复制]
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| 摘要: |
| 目的 对妊娠期糖尿病(gestational diabetes mellitus, GDM0)患者进行生活方式干预,观察其对血糖的影响,和围产期并发症的改善情况。方法 选择GDM患者65例,随机分为观察组(n=33)和对照组(n=32)。对观察组患者进行个体化膳食管理和运动规划,利用摄食记录表和运动手环进行每日记录。分析两组患者的血糖情况及围产期并发症的改善情况。结果 经过1周生活方式干预,观察组患者空腹血糖及餐后2h血糖较初始值明显降低,与初始血糖相比差异有统计学意义(P＜0.05)；2周后观察组与对照组比较,空腹血糖、餐后2h血糖及糖化血清白蛋白差异有统计学意义(P＜0.05)；分娩前,观察组空腹血糖和餐后2h血糖明显低于对照组,差异有统计学意义(P＜0.05)；观察组围产期并发症的发生率与对照组之间存在统计学差异(P＜0.05),而与正常健康孕妇之间差异无统计学意义(P＞0.05)。结论 生活方式干预可有效地控制妊娠糖尿病患者的血糖水平,降低围产期并发症的发生率,改善妊娠结局。 |
| 关键词: 妊娠期糖尿病 血糖 糖化血清白蛋白 生活方式 并发症 |
| DOI：10.16118/j.1008-0392.2016.04.020 |
| 投稿时间：2015-11-24 |
| 基金项目: |
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| Management of life behavior for gestational diabetes mellitus |
| LIU Xiao-jie,TONG Ben-de,XIONG Jin-ping,MA Dong-yun,WANG Hao |
| (Dept. of Clinical Nutrition, Changzheng Hospital, Second Military Medical University, Shanghai 200003, China) |
| Abstract: |
| Objective To assess the effect of behavioral intervention for patients with gestational diabetes mellitus(GDM). Methods Sixty five patients with GDM were randomly assigned to intervention group(n=33) and control group(n=32). Patients in intervention group received individual dietary guidance and exercise program; the daily diet was documented and the exercise was recorded with a sports bracelet. The blood glucose and pregnancy outcomes were analyzed in two groups. Results After a week of intervention, fasting glucose and 2h postprandial blood glucose in intervention group were significantly lower than the initial values(P<0.05). After 2 week intervention, the fasting glucose, 2h postprandial blood glucose and glycated albumin in intervention group were significantly lower than those in control group(P<0.05), and the difference between two groups continued until delivery(P<0.05). The incidence of perinatal complications was significantly lower in intervention group than that in control group(P<0.05). Conclusion The behavioral intervention can effectively improve the blood glucose level and reduce the incidence of pregnant and perinatal complications of patients with GDM. |
| Key words: gestational diabetes mellitus glycemia glycated albumin life style complication |
