摘要
目的探讨胰岛素泵治疗妊娠糖尿病的临床效果。方法以本院80例妊娠期糖尿病患者为研究对象,将其随机分成两组,A组(40例)采取多次皮下注射胰岛素治疗,B组(40例)采取胰岛素泵注射治疗,比较两组的临床效果。结果 B组的空腹血糖、餐后2 h血糖分别为(5.4±0.6)、(7.6±1.2)mmol/L,明显低于A组,B组的血糖达标时间为(2.5±0.6)d,明显短于A组(P<0.05);B组孕妇的羊水过多、妊娠高血压综合征和剖宫产发生率分别为20.0%、7.5%、17.5%,新生儿高胆红素血症、巨大儿、低血糖和呼吸窘迫综合征的发生率分别为7.5%、5.0%、2.5%和2.5%,B组的母婴并发症率明显低于A组(P<0.05)。结论与多次皮下注射胰岛素比较,胰岛素泵可迅速控制血糖,减少母婴并发症。
Objective To investigate the clinical effect analysis of insulin pump in the treatment of gestational diabetes mellitus. Methods 80 patients with gestational diabetes mellitus of our hospital were selected as research objects.They were randomly divided into the two groups.Multiple subcutaneous insulin injection therapy was taken in the group A （n=40）.Injection treatment of nsulin pump was taken in the group B （n=40）.The clinical effect of the two groups was compared. Results Fasting blood glucose,postprandial 2 h blood glucose of the group B [（5.4±0.6）,（7.6±1.2） mmol/L re-spectively] was obviously lower than that in the group B,the time of blood glucose reaching the standard in the group B [（2.5±0.6） d] was obviously shorter than that in the group A （P〈0.05）;the incidence rate of hydramnion,pregnancy in-duced hypertension syndrome and cesarean section in the pregnant women of the group B was 20.0%,7.5%,17.5% re-spectively,the incidence rate of hyperbilirubinemia,macrosomia,hypoglycemia and respiratory distress syndrome in the newborns of the group B was 7.5%,5.0%,2.5%,2.5% respectively,and the incidence rate of maternal and infant compli-cation of the group B was obviously lower than that in the group A （P〈0.05）. Conclusion Compared with subcutaneous injection of insulin,insulin pump can control blood sugar rapidly,and reduce the maternal and infant complication.
出处
《中国当代医药》
2015年第7期127-128,131,共3页
China Modern Medicine
关键词
胰岛素泵
胰岛素
妊娠糖尿病
Gestational diabetes
Insulin pump
Insulin
