| ObjectiveIn this study,through literature review,systematic review and analysis of the current situation and research progress of Western medicine and traditional Chinese medicine treatment of gestational diabetes mellitus,and pay attention to the mental health status of patients with gestational diabetes on the treatment effect,put forward the theoretical basis of TCM Intervention treatment during pregnancy diabetes and explore effective intervention methods,explore Baduanjin of professor Deng combined with the Five Notes Music therapy for gestational diabetes mellitus treatment,provide a new way of exercise therapy and psychological intervention for the prevention and treatment of gestational diabetes mellitus,and explore a set which is worthy to be popularized in traditional Chinese medicine intervention treatment of gestational diabetes mellitus.Methods1.Select the October 2016 to December 2017 in Guangzhou University of Chinese Medicine First Affiliated Hospital of Obstetrics and Gynecology standardized childbirth and data complete 80 GDM pregnant women,gestational weeks in the 24 weeks to 28 weeks.According to the random number table,the numbers of 40 GDM pregnant women were selected as the comprehensive intervention group(Baduanjin of professor Deng+Five Notes Music)and 40 GDM pregnant women as the control group.2.The general data were collected,including age,gestational age,gravidity,parity,birth weight,height and body mass index(BMI=weight/height(Kg)(m)]2);collected during the intervention,fasting blood glucose(FBG),postprandial 2H(2hPBG).(HbAlc),glycosylated hemoglobin,insulin,fasting and postprandial 2H(FINS)(2hPINS),blood lipids,triglycerides((TG),total cholesterol(CHOL),high density lipoprotein cholesterol(HDL-C),low density lipoprotein cholesterol(LDL-C),and other clinical indicators;outcome of pregnancy results collection research the object;before intervention and fill the anxiety scale(SAS)and Depression Scale(SDS),and the standard of SAS and SDS index.3.The experimental group on the basis of conventional medical nutrition treatment to Baduanjin of professor Deng and Five Notes Music,the control group only conventional medical nutrition treatment program.Intervention time is 2 months.4.The clinical indexes before and after the intervention and the SAS standard score and SDS index were compared in-group and between groups to evaluate the clinical efficacy of the two intervention programs.Result1.The results of the general data:There was no significant difference between the test group and the control group in age,height,body weight before pregnancy,BMI,gestational age,and pregnancy time(P>0.05).2.Comparison of Blood Glucose and HbAlc before and after Intervention:There was no significant difference in blood glucose and glycosylated hemoglobin between the two groups before intervention(P>0.05).After intervention,the fasting blood glucose in both groups decreased,but the fasting blood glucose in the experimental group was lower than that in the control group after intervention(P<O.05),The FBG difference before and after intervention was better than that of the control group(P<0.05);The 2h FBG in both groups were significantly improved after intervention,and the 2-h FBG in the experimental group was lower than that in the control group after intervention(P<0.05).The difference of 2hFBG before and after the intervention was lower than that in the control group Italy(P<0.05);HbAlc was improved in both groups after intervention,but there was no significant difference in HbAlc between the two groups after intervention(P>0.05).There was no significant difference in HbAlc between the two groups(P>0.05).3.Comparison of insulin levels between the two groups before and after intervention:There was no significant difference in the overall average of fasting insulin between the two groups before and after intervention(P>0.05)Before and after intervention,there was no significant difference in the overall average of fasting insulin between the two groups(P>0.05);the insulin resistance index improved,especially in the experimental group,with a significant difference between the two groups(P>0.05)4.The levels of blood lipid in two groups before and after intervention were compared:Before and after intervention,there was no significant difference between the two groups(P<0.05);after intervention,the TG of both groups improved,the experimental group was lower than the control group,the difference experimental group was lower than the treatment group before and after the intervention,the difference was(P<0.05).There was no significant difference in the mean LDL-C between the two groups before and after intervention(P<0.05).There was no significant difference in the mean HDL-C between the two groups before and after intervention(P<0.05).5.Comparison of BMI changes:compared with the control group,the weight gain of the control group increased rapidly during the gestational period.At the 30 week of pregnancy,the difference of BMI between the two groups was statistically significant(P<0.01).The difference between BMI and BMI before pregnancy was statistically significant(p<0.01).The difference between the two groups was statistically significant(P<0.01).6.Comparison of pregnancy outcomes:Compared with the control group,the control group had higher preoperative pregnancy outcomes than the two groups(P<0.05).There was no significant difference in the incidence of complications such as hypertension during pregnancy,polyhydramnios,postpartum hemorrhage,and premature rupture of membranes between the two groups(P>0.05).Compared with the experimental group,the incidence of macrosomia in the control group was higher,and the difference between the two groups was statistically significant(P<0.05).There was no significant difference in the rates of preterm birth,neonatal asphyxia,and neonatal hypoglycemia between the two groups(P>0.05).7.Compared with anxiety and depression,the SAS score of the experimental group decreased significantly after the intervention(P<0.05),but there was no significant difference(P>0.05)between the intervention group and the SAS score and SDS There was no significant difference between the two groups before and after treatment(P>0.05).There was no significant difference in SAS score and SDS index between the experimental group and the control group before the intervention.After the intervention,the SAS score and SDS index in the experimental group decreased significantly compared with the control group Academic intention(P>0.05).After intervention,the anxiety rate of the experimental group decreased from 14.7Y to 2.9%,which was significantly different from that before the intervention(P<0.05).The rate of depression was not significantly different between the two groups before and after the intervention and between the two groups.Conclusion1.In the treatment of gestational diabetes mellitus,and compared to simple medical nutrition therapy,coupled with Baduanjin of professor Deng and Five Notes Music can better regulate blood glucose and improve blood lipid metabolism,especially fasting blood glucose,2h postprandial blood glucose,Triglycerides and insulin resistance index.Explain fasting blood glucose and insulin resistance index is an important factor affecting the development of gestational diabetes mellitus.The experimental group was better than the control group in controlling weight gain during pregnancy and improving pregnancy outcome,indicating that overweight during pregnancy is an important risk factor for adverse pregnancy outcomes in GDM patients.Mere diet therapy alone is not effective in controlling weight gain during pregnancy.3.Baduanjin of professor Deng+Five Notes Music can effectively improve the gestational diabetes patients with anxiety and depression and other adverse psychological conditions,thereby improving the pregnancy outcome.4.Baduanjin of professor Deng+Five Notes Music Therapy is a safe and no side effects of traditional Chinese medicine therapy,reflecting the"hybrid to rule" and "shape and spirit of unity" of Chinese medicine treatment thinking,Baduanjin of professor Deng is to promote the body's full nursed back to health Fitness exercises,Five Notes Music is five-tone Chinese medicine,to regulate the five internal organs function to improve bad mood.The combination therapy of two therapies is more effective and worth popularizing in clinic. |
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