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    妊娠期糖尿病产妇产后恢复情况与新生儿喂养方式及个体化营养锻炼的相关性研究

    Correlation between the postpartum recovery of gestational diabetic women,neonatal feeding and individualized nutrition training

    • 摘要: 目的 研究妊娠期糖尿病(GDM)产妇产后恢复情况与新生儿喂养方式及个体化营养锻炼的相关性。方法 选取妊娠期糖尿病产妇130例,依据是否采用母乳喂养,将其分为母乳喂养组(70例)和非母乳喂养组(60例)。同时,依据是否进行个性化营养锻炼,将母乳喂养组分为个性化营养锻炼组(A组,n=35例)和常规锻炼组(B组,n=35例),将非母乳喂养组分为个性化营养锻炼组(C组,30例)和常规锻炼组(D组,30例)。比较4组产妇的运动功能恢复情况、糖代谢恢复情况以及BMI恢复情况。结果 在下肢最大肌力(MS)、股骨颈抗骨折能力(FS)、膝关节活动方位(R)指标方面,母乳喂养组高于非母乳喂养组(P<0.05)。其中A组高于B组,C组高于D组(P<0.05)。在膝关节损伤程度(ED)和BMI指数方面,母乳喂养组低于非母乳喂养组(P<0.05);其中A组低于B组,C组低于D组(P<0.05)。A、B、C、D组的糖代谢恢复正常比分别为97.14%、74.29%、73.33%、46.67%,A组最高(P<0.05)。在糖耐量受损方面,A组低于D组(P<0.05)。结论 新生儿纯母乳喂养方式以及个性化营养锻炼的应用对于促进妊娠期糖尿病产妇恢复有重要的价值,值得应用和推广。

       

      Abstract: Objective To explore the correlation between postpartum recovery of gestational diabetes mellitus(GDM) women,neonatal feeding and individualized nutrition exercise.Methods A total of 130 pregnant women with gestational diabetes were enrolled.According to the use of breastfeeding,they were divided into a breast feeding group(n=70) and a non-breastfeeding(n=60).Meanwhile,according to the presence of personalized nutrition exercise,women in the breast feeding group were divided into a personalized nutrition exercise group(Group A,n=35) and a regular exercise group B(Group B,n=35).Those in the non-breastfeeding group were divided into a personalized nutrition exercise group(Group C,n=30) and a routine exercise group(Group D,n=30).Those four groups were compared for the recovery of motor function,glucose metabolism and BMI.Results The breastfeeding group showed remarkable increases in lower extremity maximum muscle strength(MS),femoral neck anti-fracture ability(FS) and knee joint motion location(R) than the non-breastfeeding group(P<0.05),where increases in Groups A and C were detected in comparison with Groups B and C,respectively(P<0.05).Furthermore,the breastfeeding group presented markedly decreased ED and BMI than the non-breastfeeding group(P<0.05),where substantial decreases in Groups A and C were detected in comparison with Groups B and C,respectively(P<0.05).The ratio of glucose metabolism recovery to the normal in Groups A,B,C and D was 97.14%,74.29%,73.33% and 46.67%,respectively,where the highest ratio was detected in Group A(P<0.05).Group A also presented less impaired glucose tolerance than Group D(P<0.05).Conclusions The application of exclusive breastfeeding and personalized nutrition training for newborns is of great value in stimulating maternal recovery in gestational diabetic women.

       

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