【摘要】 目的 探究生活方式干预对妊娠期糖尿病孕产妇健康饮食/运动行为、血糖控制效果及妊娠结局的影响。方法 选取2018年3月—2022年3月福建省连江县医院妇产科收治的100例妊娠糖尿病孕产妇为研究对象，按随机数表法分为研究组与对照组，各50例。对照组进行常规干预，研究组在对照组基础上进行生活方式干预，比较两组干预前后健康饮食/运动行为评分、血糖水平、不良妊娠结局及生活质量。结果 干预后，两组健康饮食/运动行为评分较干预前提高，且研究组健康饮食、运动行为评分高于对照组，差异有统计学意义（P<0.05）。干预后，两组空腹血糖（FPG）、餐后2 h血糖（2 hPG）及糖化血红蛋白（HbA1c）水平均较干预前降低，且研究组各项指标低于对照组，差异有统计学意义（P<0.05）。研究组不良妊娠结局发生率低于对照组，差异有统计学意义（P<0.05）。研究组生活质量评分高于对照组，差异有统计学意义（P<0.05）。结论 生活方式干预可显著改善妊娠期糖尿病患者健康饮食/运动行为，患者空腹血糖及餐后血糖水平控制更加稳定，能减少不良妊娠结局，提高患者生活质量。更多还原

【Abstract】 Objective To explore the effect of lifestyle intervention on healthy diet/exercise behavior, blood glucose control effect and pregnancy outcome of pregnant women with gestational diabetes mellitus.Methods 100 pregnant and lying in women with gestational diabetes who were admitted to the Department of Obstetrics and Gynecology of Lianjiang County Hospital in Fujian Province from March 2018 to March 2022 were selected as the research objects,and were divided into the study group and the control group according to the random number table method, with 50cases in each group. The control group received routine intervention, while the study group received lifestyle intervention on the basis of the control group. The scores of healthy diet, exercise behavior, blood sugar levels, adverse pregnancy outcomes, and quality of life were compared between the two groups before and after the intervention.Results After the intervention, the scores of healthy diet/exercise behavior in the two groups increased compared to before the intervention, and the scores of healthy diet/exercise behavior in the study group were higher than those in the control group, and the difference was statistically significant(P<0.05). After the intervention, the levels of fasting blood glucose(FPG), 2-hour postprandial blood glucose(2 hPG), and glycated hemoglobin(HbA1c) in both groups decreased compared to before the intervention, and all indicators in the study group were lower than those in the control group,and the difference was statistically significant(P<0.05). The incidence of adverse pregnancy outcomes in the study group was lower than that in the control group, and the difference was statistically significant(P<0.05). The quality of life score of the study group was higher than that of the control group, and the difference was statistically significant(P<0.05).Conclusion Lifestyle intervention can significantly improve the healthy diet/exercise behavior of diabetes patients during pregnancy. Fasting blood glucose and postprandial blood glucose levels of patients are more stable,which can reduce adverse pregnancy outcomes and improve the quality of life of patients.更多还原