持续皮下输注胰岛素治疗妊娠糖尿病患者的效果分析  

Effect Analysis of Continuous Subcutaneous Insulin Infusion in the Treatment of Gestational Diabetes Mellitus

作　　者：黄培红 HUANG Peihong(Department of Obstetrics and Gynecology,Pinghe County Hospital,Zhangzhou,Fujian Province,363700 China)

机构地区：[1]平和县医院妇产科,福建漳州363700

出　　处：《糖尿病新世界》2023年第22期65-68,共4页Diabetes New World Magazine

摘　　要：目的探讨妊娠糖尿病持续皮下输注胰岛素治疗效果。方法选取2020年1月—2022年10月平和县医院收治的40例妊娠糖尿病患者为研究对象,以随机数表法均分对照组和观察组,每组20例。对照组接受多次皮下输注胰岛素治疗,观察组持续皮下输注胰岛素治疗。对比两组血糖水平改善、胰岛素用量、血糖达标时间,妊娠期、新生儿并发症发生情况。结果治疗后,观察组空腹血糖、餐后2 h血糖、糖化血红蛋白水平均低于对照组,差异有统计学意义(P<0.05);观察组血糖达标时间低于对照组,差异有统计学意义(P<0.05);观察组妊娠期、新生儿并发症发生率均低于对照组,差异有统计学意义(P<0.05)。结论妊娠糖尿病患者接受持续皮下输注胰岛素治疗并未增加胰岛素用量,但可明显缩短血糖达标时间,可改善血糖水平,降低妊娠期、新生儿并发症发生风险,临床应用价值显著。Objective To investigate the effect of continuous subcutaneous insulin infusion in the treatment of gestational diabetes.Methods A total of 40 gestational diabetes patients admitted to Pinghe County Hospital from January 2020 to October 2022 were randomly divided into control group and observation group.The control group received multiple subcutaneous insulin infusion,and the observation group received continuous subcutaneous insulin infusion.The improvement of blood glucose level,insulin dosage,blood glucose standard time,pregnancy and neonatal occurrence of complications between the two groups were compared.Results After treatment,the levels of fasting blood glucose,2 h postprandial blood glucose and glycosylated hemoglobin in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).The time of blood glucose reaching the standard in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).The incidence of pregnancy complications and neonatal complications in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusion Continuous subcutaneous insulin infusion does not increase insulin dosage in patients with gestational diabetes mellitus,but it can significantly shorten the time of blood glucose compliance,improve blood glucose level,and reduce the risk of complications during pregnancy and newborn.

关 键 词：妊娠糖尿病 胰岛素 皮下输注 血糖 并发症 

分 类 号：R473[医药卫生—护理学]