门冬胰岛素与普通人胰岛素对于妊娠糖尿病患者围产期的影响  

Insulin aspart and regular human insulin effects on perinatal gestational diabetes mellitus patients

作　　者：伦巍巍[1] 朱建坡[2] Lun Weiwei;Zhu Jianpo(Gynaecology and Obstetrics, The Third Afilliated Hospital,Zheng Zhou University, Zhengzhou, Henan, China, 450015)

机构地区：[1]河南省郑州大学第三附属医院妇产科,河南郑州450015 [2]河南中医药大学第一附属医院麻醉科,河南450015

出　　处：《世界中医药》2017年第A01期290-291,共2页World Chinese Medicine

摘　　要：目的探析门冬胰岛素与普通人胰岛素对于妊娠糖尿病患者围产期的影响。方法从我院进行诊治的不达标饮食控制的妊娠糖尿病患者中随机筛选出60例，分为门冬胰岛素组和普通人胰岛素组，门冬胰岛素组应用门冬胰岛素治疗，普通人胰岛素组应用普通人胰岛素治疗，观察其羊水量、胰岛素用量、胎儿出生的身长/体重、低血糖发生、餐后血糖、空腹血糖等情况。结果门冬胰岛素组患者的羊水量、低血糖发生、餐后血糖等均明显低于普通人胰岛素组，2组的低血糖比较差异有统计学意义(P<0.05)。结论门冬胰岛素应用于妊娠糖尿病患者，在围产期对于防治羊水过多，控制餐后和空腹血糖，降低低血糖发生率，具有很好的应用价值。Objective:To study insulin aspart and regular human insulin influence on perinatal gestational diabetes patients.Methods:Diagnosis and treatment in our hospital is not up to the standard of diet in patients with gestational diabetes mellitus were randomly selected60patients,divided into insulin aspart group and normal insulin group,to observe the amniotic fluid volume,insulin dosage,birth length/bodyweight,hypoglycemia,postprandial blood glucose,fasting glucose.Results:Amniotic fluid volume,insulin aspart group patients with hypoglycemia,postprandial blood glucose were significantly lower than those in normal human islet In group A,insulin aspart group hypoglycemia occurred times fewer than ordinary human group,the difference of the two groups were significant,P<0.05Conclusion:Insulin aspart used in patients with gestational diabetes mellitus,in the perinatal period can effective prevention and treatment of polyhydramnios,effective control of patients with meals and after the fasting blood glucose,reduce the incidence of hypoglycemia,reduce the risk of accidents,it has good application value.

关 键 词：门冬胰岛素 普通人胰岛素 妊娠糖尿病 围产期 

分 类 号：R715[医药卫生—妇产科学]