主动健康理念下的运动干预在妊娠期糖尿病中的运用效果

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[Abstract]Objective：To explore the application effect of exercise intervention under the concept of active health in gestational diabetes mellitus （GDM）. Method： A total of 8O patients with GDM who visited inthe Maternity and Child Health Hospitalof Ji'an fromJanuary 2O21 to January 2O23 were included in this prospective study.The patients were divided into control groupand observation group by random number table method，with 4Ocases in each group.The control group adopted the standard GDM management model，and the observation group combined with exercise intervention under the concept of active healthon the basis of the control group.The blood glucose control，self-managementability，qualityoflifeandtheinfluenceofGDMonmothersand infants wereobservedin thetwo groups.Result：After4 weeksof intervention，the fasting blood glucoseand2h postprandial blood glucose levels inthe observation group were lowerthan those in thecontrol group，the insulin utilization rate was lower than that in the control group，and the blood glucose compliance rate was higherthan that in the control group （ P <0.05）. After 4 weeks of intervention，the scores of GDM-related knowledge，beliefsand atitudes，social support，selfmanagement methods and behaviors，and the scores of concerns about high-risk factors for pregnancy，perceived limitations，CDMcomplications，and support in theobservation group were higherthan those in thecontrol group （ P <0.05）.The incidence of adverse events in mothersand infants in the observation group was lower than that in the control group （ P <0.05）.Conclusion： Exercise intervention under the concept of active health can improve the blood glucose control of patients with GDM，enhance their self-management abilityand qualityof life，and reduce the influence of GDM on mothers and infants.

妊娠期糖尿病（gestational diabetesmellitus，GDM）是指在妊娠期首次发现或确诊的糖代谢异常疾病，主要由孕期激素变化导致胰岛素抵抗增强、胰岛素分泌相对不足引起[1-2]。（剩余7499字）