天津护理

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中医运动处方对妊娠期糖尿病患者血糖及妊娠结局的影响

  

  1. 深圳市中医院,广东   深圳   518000
  • 收稿日期:2017-03-10 修回日期:2017-04-30 出版日期:2017-08-28 发布日期:2017-09-07

 
The effect of traditional Chinese medicine exercise prescription on gestational diabetes mellitus

  1. Shenzhen Traditional Chinese Medicine Hospital, Shenzhen Guangdong 518000
  • Received:2017-03-10 Revised:2017-04-30 Online:2017-08-28 Published:2017-09-07

摘要: 目的:探讨中医运动处方对妊娠期糖尿病(gestational diabetes mellitus,GDM)患者血糖控制及妊娠结局的影响。方法:选取200例GDM患者,随机分为观察组和对照组,每组100例。对照组给予常规孕期干预,观察组给予中医运动处方干预。比较两组患者空腹血糖(fasting blood-glucose,FBG)、餐后2 h血糖(2 hour postprandial blood glucose,2 hPBG)、糖化血红蛋白(hemoglobin Alc,HbA1c)及妊娠结局。结果:干预后,观察组患者FBG、2 hPBG、HbA1c低于对照组(P<0.05)。观察组子痫前期、羊水过多、胎膜早破、巨大儿、胎儿宫内窘迫、新生儿窒息、新生儿低血糖发生率低于对照组(P<0.05)。结论:采用中医运动处方进行孕期干预,可提高GDM患者血糖控制水平,改善妊娠结局。

关键词: 中医, 辨证论治, 妊娠期糖尿病, 运动处方

Abstract:  

Objective: To evaluate the effect of traditional Chinese medicine exercise prescription on glycemic control and pregnancy outcome for gestational diabetes mellitus (GDM). Methods: 200 patients with GDM were divided into observation group and control group, 100 cases in each group. The control group was given to routine intervention, and the observation group was given to traditional Chinese medicine exercise prescription. The fasting blood-glucose (FBG), 2 hour postprandial blood glucose (2hPBG), hemoglobin Alc (HbA1c) and pregnancy outcome were compared between the two groups. Results: After intervention, the FBG, 2h PBG and HbA1c of observation group significantly lower than control group (P<0.05). Compared with control group, the occurrence rate of preeclampsia, polyhydramnios, premature rupture of fetal membranes, macrosomia, fetal distress, neonatal asphyxia and neonatal hypoglycemia in the observation group significantly lower than control group (P<0.05). Conclusion: Traditional Chinese medicine exercise prescription to GDM patients during pregnancy can enhance the glycemic control level and improve the pregnancy outcome.

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