膳食营养干预结合不同孕周胰岛素应用对妊娠期糖尿病患者血糖水平、妊娠结局的影响  

Effects of Dietary Nutrition Intervention Combined with Insulin Application at Different Gestational Weeks on Blood Glucose Level and Pregnancy Outcome in Patients with Gestational Diabetes

作　　者：刘文峰 池晓玲 黄敏红 LIU Wenfeng;CHI Xiaoling;HUANG Minhong(Department of Obstetrics,Longyan First Hospital Affiliated to Fujian Medical University,Longyan,Fujian Province,364000 China)

机构地区：[1]福建医科大学附属龙岩第一医院产科,福建龙岩364000

出　　处：《糖尿病新世界》2024年第4期60-62,70,共4页Diabetes New World Magazine

摘　　要：目的分析在膳食营养干预基础上,对妊娠期糖尿病患者在不同孕周针对性应用胰岛素治疗的效果。方法选取2021年11月—2023年4月福建医科大学附属龙岩第一医院收治的112例妊娠期糖尿病患者作为研究对象,以不同孕周分为观察组(56例,孕周≤32周)和对照组(56例,孕周>32周),两组患者均接受膳食营养干预联合胰岛素治疗,对比两组患者血糖水平、妊娠不良结局发生率。结果治疗后,观察组血糖水平、妊娠不良结局发生率低于对照组,差异有统计学意义(P均<0.05)。结论相比于孕周>32周胰岛素治疗,于孕周≤32周治疗可更好地调控血糖水平,降低不良妊娠结局发生率,可行性良好。Objective To analyze the effect of targeted insulin therapy on diabetes patients in different gestational weeks on the basis of dietary nutritional intervention.Methods A total of 112 patients with gestational diabetes admit⁃ted to Longyan First Hospital Affiliated to Fujian Medical University from November 2021 to April 2023 were selected as the study objects,and they were divided into observation group(56 cases,gestational age≤32 weeks)and control group(56 cases,gestational age>32 weeks)according to different gestational weeks.Both groups received dietary nu⁃trition intervention combined with insulin treatment.Blood glucose level and incidence of adverse pregnancy outcomes were compared between the two groups.Results After treatment,the blood glucose level and the incidence of adverse pregnancy outcome in the observation group were lower than those in the control group,and the difference were statis⁃tically significant(all P<0.05).Conclusion Compared with the administration of>32 weeks of gestation,the insulin treatment of≤32 weeks of gestation can better regulate the blood glucose level and reduce the incidence of adverse pregnancy outcomes,which is feasible.

关 键 词：膳食营养干预 不同孕周 胰岛素 妊娠期糖尿病 血糖水平 妊娠结局 

分 类 号：R587.1[医药卫生—内分泌]