CAJ | 학술논문

目的对妊娠期糖尿病孕妇采用胰岛素治疗,观察其对血糖控制及母婴结局的影响.方法200例妊娠期糖尿病孕妇分为对照组和观察组,各100例,对照组采用运动及饮食治疗,观察组在对照组治疗基础上采用胰岛素皮下注射,观察两组孕妇血糖控制情况及妊娠结局.结果空腹血糖和餐后2h血糖控制满意率观察组96.00%和89.00%,对照组76.00%和65.00%,观察组明显高于对照组(P<0.05).妊高征观察组7例(7.00%),对照组28例(28.00%);剖宫产观察组25例(25.00%),对照组40例(40.00%);胎膜早破观察组3例(3.00%),对照组22例(22.00%);新生儿窒息观察组1例(1.00%),对照组5例(5.00%);新生儿低血糖观察组5例(5.00%),对照组26例(26.00%);胎儿畸形观察组2例(2.00%),对照组18例(18.00%).观察组孕妇空腹血糖和餐后2h血糖控制满意率均明显高于对照组(P<0.05),妊娠结局明显改善(P<0.05).结论对妊娠期糖尿病孕妇采用胰岛素治疗,血糖水平能得到较好的控制,且能改善妊娠结局.
목적대임신기당뇨병잉부채용이도소치료,관찰기대혈당공제급모영결국적영향.방법200례임신기당뇨병잉부분위대조조화관찰조,각100례,대조조채용운동급음식치료,관찰조재대조조치료기출상채용이도소피하주사,관찰량조잉부혈당공제정황급임신결국.결과공복혈당화찬후2h혈당공제만의솔관찰조96.00%화89.00%,대조조76.00%화65.00%,관찰조명현고우대조조(P<0.05).임고정관찰조7례(7.00%),대조조28례(28.00%);부궁산관찰조25례(25.00%),대조조40례(40.00%);태막조파관찰조3례(3.00%),대조조22례(22.00%);신생인질식관찰조1례(1.00%),대조조5례(5.00%);신생인저혈당관찰조5례(5.00%),대조조26례(26.00%);태인기형관찰조2례(2.00%),대조조18례(18.00%).관찰조잉부공복혈당화찬후2h혈당공제만의솔균명현고우대조조(P<0.05),임신결국명현개선(P<0.05).결론대임신기당뇨병잉부채용이도소치료,혈당수평능득도교호적공제,차능개선임신결국.
Objective To observe the influence o influence on the blood glucose control,the pregnant women and the pregnancy outcome during the insulin treatment for the patients with gestational diabetes mellitus. Methods A total of 200 patients with gestational diabetes mellitus were enrolled into this study. All the subjects were divided into two subjects:control group(n=100) and observe group(n=100). The patients of the control group were treated with diet and sport,and the patients of the observe group were treated with insulin based on the treatment of the observe group. The following parameters of the two groups were observed:the status of controlling blood glucose and the outcome of pregnant women and their infants. Results Compared with the patients of the control group,the blood glucose level and the pregnancy outcome were significantly improved. Conclusion Insulin can improve the blood glucose levels and the pregnancy outcomes of the patients with gestational diabetes mellitus treated with insulin. So it deserves deserves widely application in clinical decisions.