参芪降糖颗粒联合甲钴胺对妊娠糖尿病患者血糖及妊娠结局的影响  

Effect of Shenqi Jiangtang granules combined with mecobalamin on blood glucose and pregnancy outcomes in patients with gestational diabetes

作　　者：张赞 康辉 雷立健 Zhang Zan;Kang Hui;Lei Lijian(Department of Obstetrics,Xianyang Hospital,Yan'an University,Xianyang 712000,China;Department of Epidemiology,School of Public Health,Shanxi Medical University,Taiyuan 030001,China)

机构地区：[1]延安大学咸阳医院产科,咸阳712000 [2]山西医科大学公共卫生学院流行病学教研室,太原030001

出　　处：《国际医药卫生导报》2024年第17期2863-2867,共5页International Medicine and Health Guidance News

基　　金：国家自然科学基金(81273040)。

摘　　要：目的探讨参芪降糖颗粒联合甲钴胺治疗对妊娠糖尿病患者血糖控制、妊娠结局的影响。方法选取2020年6月至2023年6月在延安大学咸阳医院进行治疗的妊娠糖尿病患者150例,采用随机数字表法分为中药组、西药组和联合治疗组,各50例。中药组年龄(29.33±3.65)岁,孕周(29.75±3.22)周,在常规治疗基础上给予参芪降糖颗粒(1 g/次,3次/d)治疗;西药组年龄(29.16±3.06)岁,孕周(30.51±3.41)周,在常规治疗基础上给予甲钴胺(0.5 mg/次,3次/d)治疗;联合治疗组年龄(30.21±3.16)岁,孕周(30.81±3.36)周,在常规治疗基础上给予参芪降糖颗粒(1 g/次,3次/d)和甲钴胺(0.5 mg/次,3次/d)治疗,3组均给药治疗1个月。比较3组患者的临床疗效、血糖达标率、血糖与血脂相关指标水平及妊娠结局。统计学方法采用F检验、t检验、χ^(2)检验。结果中药组的总有效率为70.00%(35/50),西药组的总有效率为74.00%(37/50),联合治疗组的总有效率为94.00%(47/50),3组比较差异有统计学意义(χ^(2)=7.523,P<0.05)。治疗1个月后,联合治疗组的糖化血红蛋白(HbA1c)、餐后2 h血糖(2hBG)、空腹血糖(FBG)、胱抑素C(Cys-C)、同型半胱氨酸(Hcy)水平均低于中药组和西药组[(5.02±0.63)%比(6.33±0.79)%比(6.21±0.96)%、(4.02±0.53)mmol/L比(5.96±0.75)mmol/L比(5.83±0.82)mmol/L、(5.69±0.62)mmol/L比(7.36±0.95)mmol/L比(6.91±0.77)mmol/L、(8.33±0.95)μmol/L比(11.02±1.20)μmol/L比(10.86±1.25)μmol/L、(1.01±0.11)mg/L比(1.31±0.16)mg/L比(1.28±0.15)mg/L],3组比较差异均有统计学意义(均P<0.05)。联合治疗组的妊娠不良结局发生率均低于中药组和西药组[8.00%(4/50)比30.00%(15/50)比29.00%(14/50)]。联合治疗组的血糖达标率、顺产率高于中药组及西药组[94.00%(47/50)比70.00%(35/50)比74.00%(37/50)、70.00%(35/50)比40.00%(20/50)比44.00%(22/50)],3组比较差异均有统计学意义(均P<0.05)。结论参芪降糖颗粒联合甲钴胺治疗可降低妊娠糖尿病患者的Objective To investigate the effect of Shenqi Jiangtang granules combined with mecobalamin on blood glucose control and pregnancy outcomes in patients with gestational diabetes.Methods From June 2020 to June 2023,150 patients with gestational diabetes who were treated in Xianyang Hospital,Yan'an University were selected,and were divided into a traditional Chinese medicine group,a western medicine group,and a combined treatment group,with 50 cases in each group.The traditional Chinese medicine group were(29.33±3.65)years old and(29.75±3.22)weeks pregnant,and took conventional treatment and Shenqi Jiangtang granules 1 g/time,3 times/d.The western medicine group were(29.16±3.06)years old and(30.51±3.41)weeks pregnant,and took conventional treatment and mecobalamin 0.5 mg/time,3 times/d.The combined treatment group were(30.21±3.16)years old and(30.81±3.36)weeks pregnant,and took conventional treatment,Shenqi Jiangtang granules1 g/time,3 times/d,and mecobalamin 0.5 mg/time,3 times/d.All the 3 groups were treated 1 month.The clinical treatment effects,blood glucose qualified rates,blood glucose and lipid indicators,and pregnancy outcomes of the three groups were compared.F,t,andχ^(2)tests were applied.Results The therapeutic efficacy of the traditional Chinese medicine group was 70.00%(35/50),that of the western medicine group 74.00%(37/50),and that of the combined treatment group 94.00%(47/50),with a statistical difference between the 3 groups(χ^(2)=7.523,P<0.05).After 1 month's treatment,the levels of glycosylated hemoglobin(HbA1c),2 hours postprandial plasma glucose(2hBG),fasting blood glucose(FBG),cystatin C(Cys-C),and homocysteine(Hcy)in the combined treatment group were lower than those in the traditional Chinese medicine group and the western medicine group[(5.02±0.63)%vs.(6.33±0.79)%vs.(6.21±0.96)%,(4.02±0.53)mmol/L vs.(5.96±0.75)mmol/L vs.(5.83±0.82)mmol/L,(5.69±0.62)mmol/L vs.(7.36±0.95)mmol/L vs.(6.91±0.77)mmol/L,(8.33±0.95)μmol/L vs.(11.02±1.20)μmol/L vs.(10.86±1.25)μmol/L,and(1.01±0

关 键 词：妊娠糖尿病 参芪降糖颗粒 甲钴胺 血糖控制 妊娠结局 

分 类 号：R714.256[医药卫生—妇产科学]