床上下肢锻炼对先兆早产合并妊娠期糖尿病孕妇的影响研究

Study on the Effect of Exercise of Upper and Lower Limbs in Bed on Pregnant Women with Threatened Preterm Labor Complicated with Gestational Diabetes Mellitus

摘要: 目的：探讨床上下肢锻炼对妊娠期糖尿病合并先兆早产孕妇的影响。方法：选取我院2018年1月至2019年12月因妊娠期糖尿病合并先兆早产入院保胎孕妇48例，按照入院顺序分为观察组和对照组，每组24例，对照组采用接受常规护理，干预组在常规护理基础下进行床上下肢锻炼。比较两组干预后的血糖控制水平、双下肢情况和心理状态；比较两组干预前后静脉使用子宫收缩抑制剂情况。结果：干预后观察组的血糖控制水平、大小腿围优于对照组，差异有统计学意义(P < 0.05)；干预后观察组孕妇焦虑、抑郁得分低于对照组，差异有统计学意义(P < 0.05)；两组干预前后静脉使用宫缩抑制剂剂量统计差异无意义(P > 0.05)。结论：床上下肢锻炼能有效改善妊娠期糖尿病合并先兆早产卧床保胎孕妇的血糖控制水平、双下肢及心理状态，安全有效。

Abstract: Objective: To investigate the effect of upper and lower limb exercise on pregnant women with gestational diabetes mellitus complicated with threatened preterm delivery. Methods: Forty-eight pregnant women admitted to our hospital because of gestational diabetes mellitus complicated with threatened preterm labor from January 2018 to December 2019 were divided into observation group (n = 24) and control group (n = 24). The intervention group was given exercise of upper and lower limbs on the basis of routine nursing. The blood glucose control level, lower extremities and psychological status of the two groups after intervention were compared, and the intravenous use of uterine contraction inhibitors before and after intervention were compared between the two groups. Results: After intervention, the level of blood glucose control and the circumference of large and calf in the observation group were better than those in the control group (P < 0.05), and the scores of anxiety and depression in the observation group were significantly lower than those in the control group (P < 0.05). There was no significant difference in the dose of intravenously used uterine contraction inhibitor between the two groups before and after intervention (P > 0.05). Conclusion: The exercise of upper and lower limbs in bed can effectively improve the blood glucose control level, lower limbs and psychological state of pregnant women with gestational diabetes mellitus complicated with threatened preterm labor.