妊娠期糖尿病患者治疗中胰岛素泵皮下注射和多次胰岛素皮下注射的临床效果比较  

Comparison of clinical effect by subcutaneous injection of insulin pump and multiple subcutaneous insulin injection in the treatment of gestational diabetes mellitus patients

作　　者：张笑男[1] 

机构地区：[1]云南省妇幼保健院,650051

出　　处：《中国实用医药》2017年第11期130-131,共2页China Practical Medicine

摘　　要：目的探讨对妊娠期糖尿病患者孕期实施胰岛素泵皮下注射和多次胰岛素皮下注射治疗的方法和临床效果。方法 70例妊娠期糖尿病患者,随机分成对照组和观察组,各35例。对照组患者实施预混人胰岛素多次皮下注射治疗,观察组患者实施胰岛素泵治疗。比较两组患者的治疗效果。结果治疗后,观察组患者血糖达标时间短于对照组,胰岛素用量少于对照组,空腹血糖、餐后2 h血糖低于对照组,差异具有统计学意义(P<0.05)。治疗后,观察组并发症发生率为8.57%,低于对照组的28.57%,差异具有统计学意义(P<0.05)。结论对妊娠期糖尿病患者实施胰岛素泵皮下注射治疗的疗效显著,可保证分娩后母婴安全,可在临床大力推广。Objective To investigate treatment method and clinical effect by subcutaneous injection of insulin pump and multiple subcutaneous insulin injection for gestational diabetes mellitus patients. Methods A total of 70 patients with gestational diabetes mellitus were randomly divided into control group and observation group, with 35 cases in each group. The control group received multiple subcutaneous injection of premixed human insulin for treatment, and the observation group received insulin pump for treatment. Curative effects were compared between the two groups. Results After treatment, the observation group had shorter blood glucose standard reaching time, less insulin dosage, and lower fasting blood glucose and 2 h postprandial blood glucose than the control group, and their difference had statistical significance（P〈0.05）. After treatment, the observation group had lower incidence of complications as 8.57% than 28.57% in the control group, and the difference had statistical significance（P〈0.05）. Conclusion Implement of subcutaneous injection of insulin pump shows excellent curative effect for gestational diabetes mellitus patients. This method can guarantee maternal and infantile safety after delivery, and it is worth widely clinical promotion.

关 键 词：胰岛素泵 妊娠期糖尿病 治疗方法 临床效果 

分 类 号：R714.256[医药卫生—妇产科学]