胰岛素泵和“双C”疗法治疗妊娠期糖尿病的护理和疗效比较  

Efficacy Observation and Nursing Experience of Insulin Pump and "Double C" Therapy in Treating Gestational Diabetes

作　　者：冼碧霞[1] 麦宝珍 

机构地区：[1]广东省深圳市宝安区人民医院,广东深圳518101

出　　处：《中国药业》2011年第5期62-63,共2页China Pharmaceuticals

摘　　要：目的观察胰岛素泵和"双C"疗法对妊娠期糖尿病患者血糖控制情况和巨大儿出生率的影响。方法将120例妊娠期糖尿病患者随机均分为两组,胰岛素泵组采用胰岛素泵输入治疗,双C治疗组佩戴动态血糖监测系统(CGMS)24 h后置入胰岛素泵,根据监测结果调整剂量。两组分别行相关护理,观察患者血糖情况和各组巨大儿出生率。结果两组患者治疗后空腹、餐后、睡前、凌晨血糖均较治疗前降低(P<0.05或P<0.01);两组巨大儿出生率控制较好,双C治疗组更好,但组间无明显差异(P>0.05)。结论胰岛素泵治疗法和"双C"治疗法都是控制妊娠期糖尿病患者血糖安全、有效的方法。Objective To study the effect of the insulin pump and ＂double C＂therapy on the blood sugar control and the rate of fetal macrosomia in women with gestational diabetes mellitus（GDM）.Methods 120 pregnant women with GDM were randomly and evenly divided into the insulin pump group and the double C therapy group（60 cases in each group）.The two groups were treated with the single insulin pump and double C therapy（continuous glucose monitoring system,CGMS and continuous subcutaneous insulin infusion,CSII）,respectively.Nursing was performed accordingly,and the blood sugar control and the delivery rate of macrosomia were observed.Results Compared with before treatment,the fasting,postprandial and bedtime blood sugar and the blood sugar before dawn were all decreased significantly after treatment in the two groups（P 0.05 or P 0.01）.The delivery rate of macrosomia was well controlled in both the two groups.The ＂double C＂therapy was slightly better than the single insulin pump without significant difference（P 0.05）.Conclusion The single insulin pump and the ＂double C＂therapy are both safe and effective way to control the blood sugar of pregnant women with GDM.

关 键 词：胰岛素泵 “双C”治疗法 妊娠期糖尿病 疗效 巨大儿出生率 

分 类 号：R969.4[医药卫生—药理学] R977.15[医药卫生—药学]