不同时期加用胰岛素治疗妊娠期糖尿病患者对血糖控制的效果  

Effect of insulin treatment at different stages on blood glucose control in pregnant women with gestational diabetes

作　　者：于熠 Yu Yi(Qiaokou District Baofeng Street Community Health Service Center,Wuhan 430030,China)

机构地区：[1]硚口区宝丰街社区卫生服务中心,湖北武汉430030

出　　处：《实用妇科内分泌电子杂志》2024年第21期43-45,15,共4页Electronic Journal of Practical Gynecological Endocrinology

摘　　要：目的分析妊娠期糖尿病(GDM)治疗过程中不同时期加用胰岛素对血糖控制的效果。方法选取80例GDM患者,按照随机数字表法分为两组,每组40例。对照组于孕周>32周实施胰岛素治疗,研究组于孕周≤32周实施胰岛素治疗,对比两组治疗效果。结果干预后,研究组患者空腹血糖(FPG)、餐后2 h血糖(2 h PG)、24 h平均血糖波动幅度及日间平均血糖波动幅度指标与对照组相比均更为理想(P<0.05)。研究组产后出血率5.00%、妊娠期高血压疾病发生率5.00%、新生儿低血糖发生率2.50%均分别低于对照组的20.00%、22.50%、15.00%(P<0.05)。结论在孕周≤32周对GDM患者实施胰岛素治疗具有更理想的预后效果,且能够降低并发症及不良妊娠结局发生率,值得临床推广。Objective To analyze the effect of insulin on blood glucose control during the treatment of gestational diabetes(GDM)in different periods.Methods The basic data of 80 GDM patients who underwent outpatient treatment in our hospital were analyzed and divided into two groups using a digital randomization method.The control group received insulin treatment at gestational age>32 weeks,while the study group received insulin treatment at gestational age<32 weeks.The treatment results were compared.Results After intervention,the fasting blood glucose(FPG),2-hour postprandial blood glucose(2-hour PG),24-hour average blood glucose fluctuation amplitude,and daytime average blood glucose fluctuation amplitude indicators in the study group were all more ideal compared to the control group(P<0.05).The postpartum hemorrhage rate of the research group was 5.00%,the incidence of gestational hypertension was 5.00%,and the incidence of neonatal hypoglycemia was 2.50%,all of which were lower than the control group's 20.00%,22.50%,and 15.00%,respectively(P<0.05).Conclusion Insulin therapy for GDM patients at gestational weeks 32 weeks has a more ideal prognostic effect and can reduce the incidence of complications and adverse pregnancy outcomes,which is worthy of clinical promotion.

关 键 词：妊娠期糖尿病 胰岛素 血糖控制 妊娠结局 

分 类 号：R71[医药卫生—妇产科学]