文档介绍：饮食和运动疗法联合门冬胰岛素对妊娠期糖尿病患者血糖水平及母婴结局的影响
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[摘要] 目的 探讨饮食和运动疗法联合门冬胰岛素对妊娠期糖尿病患者血糖水平及母婴结局的影响。 方法 方便选取2018年1—12月该院收治的妊娠期糖尿病患者，已经分娩终止妊娠100例为研究对象，随机数字表法分为对照组与观察组，每组50例，对照组接受门冬胰岛素治疗，观察组在对照组的基础上加上饮食和运动指导，对两组治疗前后血糖水平及母婴结局进行观察。结果 两组治疗前的空腹血糖、餐后2 h血糖、糖化血红蛋白比较差异无统计学意义（P>），观察组经治疗后上述指标分别为（±）mmol/L、（±）mmol/L、（±）%与对照组比较，差异有统计学意义（t=、、，P<）;观察组不良妊娠结局的发生率与对照组比较，差异有统计学意义（P<）。结论 饮食和运动联合门冬胰岛素可调节妊娠期糖尿病患者血糖水平，也能改善母婴结局，具有推广价值。
[关键词] 饮食运动疗法;门冬胰岛素;妊娠期糖尿病;妊娠结局
[中图分类号] [文献标识码] A [文章编号] 1674-0742（2020）06（b）-0050-03
[Abstract] Objective To explore the effects of diet and exercise therapy combined with insulin aspart on blood glucose levels and maternal and infant outcomes in patients with gestational diabetes. Methods From January to December 2018， 100 patients with gestational diabetes who had been delivered for termination of pregnancy were convenienty selected. The random number table method was divided into a control group and an observation group， with 50 cases in each group. For insulin winter treatment， the observation group added diet and exercise guidance on the basis of the control group， and observed blood glucose levels and maternal and child outcomes before and after treatment in both groups. Results There was no significant difference in fasting blood glucose before treatment， blood glucose at 2 h after meal， and glycated hemoglobin between the two groups （P>）. The above indexes of the observation group after treatment were （ ± ） mmol/L and （ ± ） mmol / L， （ ± ）% compared with the control group was statistically significant （t=，， ， P<）; the incidence of adverse pregnancy outcomes in the observation group was statistically different from that in the control group， with academic significance （P<）. Conclus