运动治疗妊娠糖尿病临床观察.DOCVIP

临床医学论文-运动治疗妊娠糖尿病临床观察 【关键词】? ,妊娠糖尿病 　　【摘要】 目的? 了解运动治疗妊娠糖尿病的安全性及有效性。 方法? 50例确诊为妊娠糖尿病且无运动禁忌证的患者随机分为运动治疗组和非运动治疗组，运动方法:以上肢运动为主，患者每天坐于椅上，每手握2磅重哑铃做上下抬举运动，频率20次/min，时间为30min。共治疗12周，观察两组患者治疗前后空腹血糖（FPG）、空腹胰岛素，C-肽及餐后2h血糖（2hPG）、胰岛素、血糖达标时每日胰岛素使用总量，同时观察两组出现的不良反应。 结果? 运动治疗组各项指标均比非运动治疗组明显下降（P0.05）。运动治疗组在血糖达标时每日胰岛素使用总量较非运动治疗组明显减少（P0.05），两组均未出现明显的不良反应。 结论? 运动治疗妊娠糖尿病安全有效，能减轻胰岛素抵抗，广大医务工作者应给予重视，在没有禁忌证的情况下积极提倡。???? 　　关键词? 妊娠糖尿病 运动治疗 胰岛素抵抗????? 　　The clinical observation on sports therapy in gestational diabetes mellitus????? 　　Chen Guowei???? 　　Department of Intern Medicine，Guancheng Hospital，Dongguan523000.??? 　　【Abstract】 Objective To investigate the safety and efficacy of sports therapy in gestational diabetes mellitus.Methods The patients who were diagnosed with gestational diabetes mellitus were divided into2groups:sports ther-apy group and non-sports therapy group.The patients in the sports therapy group were instructed to sit on a chair and exercised by lifting a2kilograms weighted dumb-bell at the rate of20times per minute for30minutes each day and for a total period of12weeks.The fasting blood glucose，the fasting insulin level，C-peptied，the post-prandial（2hours）blood glucose（2hPG），blood insulin and C-peptide were determined.The quantity of insulin used for proper blood sugar control and the side effects between the two groups were compared.Results The patients in the sports therapy group fared much better than those in the non sports therapy group，P0.05.The quantity of insulin required in the sports therapy group was less than those in the non-sports therapy group，P0.05.There were no side effects in either group.Conclusion In our observation sports therapywas safe and efficacious for patients with gestational di-abetes mellitus.It could reduce the quantity of insulin necessary for proper blood sugar control and should be recom-mended for wide use in patients with gestational diabetes mellitus.??? 　　Key words gestational diabetes mellitus sports therapy insulin resist