CAJ | 학술논문

目的：观察穴位按摩对妊娠期糖尿病患者血糖及妊娠结局的影响。方法采用单纯随机抽样方法将96例妊娠期糖尿病患者随机分为观察组和对照组。对照组常规处理，观察组给予穴位按摩干预措施，观察两组患者干预前后的血糖情况及妊娠结局。结果治疗后两组空腹血糖、餐后2h血糖及糖化血红蛋白水平均较治疗前明显降低，观察组治疗后空腹血糖、餐后2 h 血糖及糖化血红蛋白水平分别为（6．92±0.66）mmol／L、（8．12±0．70）mmol／L、（6．88±0．39）％，明显优于对照组的（7．93±1．03） mmol／L、（9．54±1.33）mmol／L、（7．95±0．63）％，差异有统计学意义（t＝3．27、2．39、2．73，均P＜0．05）。观察组治疗后空腹血清C肽和餐后2 h C肽水平分别为（0．50±0．07）nmol／L、（0．54±0．06）nmol／L，均较对照组治疗后的（0．38±0．04）nmol／L，（0．49±0．04）nmol／L明显升高，差异有统计学意义（t＝2．41、2．15，均P＜0．05）。治疗后对照组患者每天平均胰岛素用量为（55．84±8．73）u，观察组为（32．24±5．03）u，观察组明显低于对照组，差异有统计学意义（t＝13．84，P＜0．05）。观察组孕妇剖宫产、羊水过多、产后出血、胎儿宫内窘迫、妊娠高血压的发生比率（12．50％、4．17％、2．08％、4．17％、0．00％）低于对照组（29．17％、16．67％、12．50％、22.92％、12.50％），差异有统计学意义（χ2＝4．042、3．877、3．852、7．206、6．400，均P＜0．05）。结论穴位按摩可以有效增强妊娠期糖尿病的治疗效果，改善妊娠期糖尿病患者妊娠结局。
목적：관찰혈위안마대임신기당뇨병환자혈당급임신결국적영향。방법채용단순수궤추양방법장96례임신기당뇨병환자수궤분위관찰조화대조조。대조조상규처리，관찰조급여혈위안마간예조시，관찰량조환자간예전후적혈당정황급임신결국。결과치료후량조공복혈당、찬후2h혈당급당화혈홍단백수평균교치료전명현강저，관찰조치료후공복혈당、찬후2 h 혈당급당화혈홍단백수평분별위（6．92±0.66）mmol／L、（8．12±0．70）mmol／L、（6．88±0．39）％，명현우우대조조적（7．93±1．03） mmol／L、（9．54±1.33）mmol／L、（7．95±0．63）％，차이유통계학의의（t＝3．27、2．39、2．73，균P＜0．05）。관찰조치료후공복혈청C태화찬후2 h C태수평분별위（0．50±0．07）nmol／L、（0．54±0．06）nmol／L，균교대조조치료후적（0．38±0．04）nmol／L，（0．49±0．04）nmol／L명현승고，차이유통계학의의（t＝2．41、2．15，균P＜0．05）。치료후대조조환자매천평균이도소용량위（55．84±8．73）u，관찰조위（32．24±5．03）u，관찰조명현저우대조조，차이유통계학의의（t＝13．84，P＜0．05）。관찰조잉부부궁산、양수과다、산후출혈、태인궁내군박、임신고혈압적발생비솔（12．50％、4．17％、2．08％、4．17％、0．00％）저우대조조（29．17％、16．67％、12．50％、22.92％、12.50％），차이유통계학의의（χ2＝4．042、3．877、3．852、7．206、6．400，균P＜0．05）。결론혈위안마가이유효증강임신기당뇨병적치료효과，개선임신기당뇨병환자임신결국。
Objective To observe the acupoint massage on gestational diabetes about mellitus and pregnancy outcome.Methods Using simple random sampling method,96 cases of gestational diabetes mellitus were randomly divided into the observation group and control group.The control group were given the conventional treatment, the observation group were given acupoint massage,pregnancy outcomes and blood glucose in the two groups before and after intervention were compared.Results The two groups after treatment of fasting blood glucose,2h postprandial blood glucose and glycated hemoglobin levels were significantly lower than that those of before treatment, but the observation group[(6.92 ±0.66)mmol/L,(8.12 ±0.70)mmol/L,(6.88 ±0.39)%]improved significantly better than those of the control group[(7.93 ±1.03)mmol/L,(9.54 ±1.33)mmol/L,(7.95 ±0.63)%],the difference was statistically significant(t =3.27,2.39,2.73,all P<0.05).The observation group after treatment,the 2H C peptide levels in fasting serum C peptide and postprandial[(0.50 ±0.07)nmol/L,(0.54 ±0.06)nmol/L]signifi-cantly increased than those of the control group after treatment[(0.38 ±0.04)nmol/L,(0.49 ±0.04)nmol/L],with statistical significant differences(t=2.41,2.15,P<0.05).The patients in the control group after treatment,statistical average daily insulin dosage was (55.84 ±8.73) u,the observation group was (32.24 ±5.03) u,the observation group was significantly lower than that of the control group,the difference was statistically significant(t=13.84,P<0.05).The observation group cesarean section,polyhydramnios,postpartum hemorrhage,fetal distress,pregnancy induced hypertension incidence rate(12.50%,4.17%,2.08%,4.17%,0%) were lower than those of the control group(29.17%,16.67%,12.50%,22.92%,12.50%),the difference was statistically significant(χ2 =4.042, 3.877,3.852,7.206,6.400,all P<0.05).Conclusion The acupoint massage therapy can effectively enhance the gestational diabetes treatment effect,improve the pregnancy outcome in patients with gestational diabetes mellitus.