CAJ | 학술논문

目的：探讨胰岛素泵持续强化治疗妊娠期糖尿病的临床效果与护理对策。方法：选取2012年2月～2014年2月于我院接诊的妊娠期糖尿病孕妇82例作为研究对象，随机将其等分为观察组与对照组，对照组予以常规胰岛素注射治疗，试验组予以胰岛素泵持续强化治疗，并同时辅以相同的护理措施，比较两组治疗效果。结果：试验组空腹血糖、餐后2h血糖、糖化血红蛋白水平及胰岛素用量均明显低于对照组，差异有统计学意义（P＜0．05），且试验组低血糖、羊水过多、剖宫产及不健康胎儿数均明显低于对照组，但满意度却显著高于对照组，两组比较差异均有统计学意义（P＜0．05）。结论：胰岛素泵持续强化治疗妊娠期糖尿病可有效控制血糖水平，辅以精心护理，能够大大提升母婴安全系数，值得临床推广应用。
목적：탐토이도소빙지속강화치료임신기당뇨병적림상효과여호리대책。방법：선취2012년2월～2014년2월우아원접진적임신기당뇨병잉부82례작위연구대상，수궤장기등분위관찰조여대조조，대조조여이상규이도소주사치료，시험조여이이도소빙지속강화치료，병동시보이상동적호리조시，비교량조치료효과。결과：시험조공복혈당、찬후2h혈당、당화혈홍단백수평급이도소용량균명현저우대조조，차이유통계학의의（P＜0．05），차시험조저혈당、양수과다、부궁산급불건강태인수균명현저우대조조，단만의도각현저고우대조조，량조비교차이균유통계학의의（P＜0．05）。결론：이도소빙지속강화치료임신기당뇨병가유효공제혈당수평，보이정심호리，능구대대제승모영안전계수，치득림상추엄응용。
Objective:To explore the clinical effect of continuous enhancement of insulin pump therapy and nursing countermeasures of gestational diabetes mellitus.Methods:From February 2012 to February 2014,82 gestational diabetes patients in our hospital admissions were randomly divided into two groups , the patients in control group received conventional insulin injection therapy ,while experimental group patients were treated with insulin pump continuous in-tensive treatment,and at the same time with the same nursing measures,treatment effect comparison of two groups.Results:The experimental group FPG, 2hPPG,HbA1c levels and insulin dosage were significantly lower than the control group,the difference was significantly (P<0.05).Moreover,the experi-mental group of hypoglycemia,polyhydramnios,cesarean section and not healthy fetuses were significantly lower than that of control group, but the satisfac-tion was significantly higher than that in the control group,the difference between the two groups were statistically significant(P<0.05).Conclusion:Con-tinue to strengthen the conclusion of insulin pump in the treatment of gestational diabetes,which can effectively control blood glucose levels,with careful nursing can greatly improve maternal and child safety coefficient ,is worth the clinical promotion .