胰岛素皮下注射治疗妊娠期糖尿病对血糖指标与妊娠结局的影响  

Effect of Subcutaneous Insulin Injection for Gestational Diabetes Mellitus on Blood Glucose Index and Pregnancy Outcome

作　　者：姜丽涛 JIANG Litao(Department of Obstetrics and Gynecology,Lanshan District Maternal and Child Health Hospital,Linyi,Shandong Province,276000 China)

机构地区：[1]临沂市兰山区妇幼保健院妇产科,山东临沂276000

出　　处：《糖尿病新世界》2023年第5期93-96,共4页Diabetes New World Magazine

摘　　要：目的观察胰岛素皮下注射治疗妊娠期糖尿病(gestational diabetes mellitus,GDM)对血糖指标与妊娠结局的影响。方法选取2021年1月—2022年1月临沂市兰山区妇幼保健院妇产科收治的妊娠期糖尿病孕妇118例为研究对象,按照就诊顺序分为对照组和研究组,各59例。对照组患者采用饮食及运动方案治疗,研究组在饮食及运动基础上应用胰岛素皮下注射治疗。对比两组孕妇血糖控制水平及母婴妊娠结局的影响。结果研究组血糖水平、不良妊娠结局与并发症发生率、新生儿不良结局与不良事件发生率均比对照组低,差异有统计学意义(P<0.05)。研究组剖宫产率为11例(18.64%)低于对照组的25例(42.37%),差异有统计学意义(χ^(2)=7.834,P<0.05)。结论对妊娠期糖尿病孕妇采取皮下注射胰岛素的方式治疗并结合饮食及运动,不仅可提高临床治疗效果,有效降低血糖水平,还能够改善母婴结局,具有较高应用价值。Objective To observe the effects of subcutaneous insulin injection for gestational diabetes mellitus on blood glucose index and pregnancy outcome.Methods 118 pregnant women with gestational diabetes who were admitted to the gynecology and obstetrics department of Lanshan District Maternal and Child Health Hospital in Linyi City from January 2021 to January 2022 were selected as the research objects.They were divided into control group and study group according to visit order,59 cases each.The patients in the control group were treated with diet and exercise program,while the study group was treated with subcutaneous insulin injection based on diet and exercise.The effects of blood glucose control level and maternal and infant pregnancy outcomes were compared between the two groups.Results The blood glucose level,adverse pregnancy outcomes and incidence of complications,neonatal adverse outcomes and adverse events in the study group were significantly lower than those in the control group,the difference was statistically significant(P<0.05).The cesarean section rate in 11 cases(18.64%)in the study group was lower than that in 25 cases(42.37%)in the control group,the difference was statistically significant(χ^(2)=7.834,P<0.05).Conclusion The treatment of pregnant women with gestational diabetes mellitus by subcutaneous insulin injection combined with diet and exercise investigation can not only improve the clinical treatment effect and effectively reduce the blood glucose level,but also improve the maternal and infant outcomes,which has high application value.

关 键 词：胰岛素皮下注射 妊娠期糖尿病 血糖指标 妊娠结局 影响 

分 类 号：R4[医药卫生—临床医学]