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不同胰岛素给药方法对妊娠糖尿病治疗的疗效比较

Comparison of the effect of different insulin administration methods on the treatment of gestational diabetes
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摘要 目的:对妊娠糖尿病患者采用不同胰岛素给药方法治疗的效果进行探究。方法:选择本院在2018年6月至2020年4月收治的妊娠糖尿病患者142例纳入研究,按照随机数字表法将其划分为甲组和乙组,每组各有71例。甲组患者接受常规皮下注射胰岛素治疗,乙组患者接受胰岛素泵持续注入治疗。对比两组的治疗效果。结果:治疗前,两组的空腹血糖水平、餐后2h血糖水平差异不显著,数据检验显示P>0.05;治疗后,乙组的的空腹血糖水平、餐后2h血糖水平明显低于甲组,数据检验显示P<0.05;甲组的不良妊娠结局发生率为35.2%,乙组的不良妊娠结局发生率为11.3%,乙组的不良妊娠结局发生率明显低于甲组,数据检验显示P<0.05。结论:在妊娠期糖尿病的临床治疗中,采用胰岛素泵持续注入治疗的方式能够有效地控制其血糖水平,改善其不良妊娠结局。 Objective:To explore the effects of different insulin administration methods in patients with gestational diabetes.Methods:A total of 142 gestational diabetes patients admitted to our hospital from June 2018 to April 2020 were selected for the study.They were divided into group A and group B according to the random number table method,with 71 cases in each group.Patients in group A received conventional subcutaneous insulin therapy,and patients in group B received continuous insulin pump injection therapy.Compare the treatment effects of the two groups.Results:Before treatment,the fasting blood glucose levels and 2h postprandial blood glucose levels of the two groups were not significantly different(P>0.05);after treatment,the fasting blood glucose levels and 2h postprandial blood glucose levels of group B were significantly lower than those of group A(P<0.05);the incidence of adverse pregnancy outcomes in group A was 35.2%,the incidence of adverse pregnancy outcomes in group B was 11.3%,and the incidence of adverse pregnancy outcomes in group B was significantly lower than that in group A(P<0.05).Conclusion:In the clinical treatment of gestational diabetes,continuous insulin pump injection can effectively control the blood glucose level and improve the adverse pregnancy outcome.
作者 陈敏 Chen Min(Department of Obstetrics and Gynecology, Caoxian Hospital of Traditional Chinese Medicine, Shandong Province, Heze Shandong, 274400, China)
出处 《中外女性健康研究》 2022年第9期54-55,共2页 Women's Health Research
关键词 胰岛素泵持续注入 皮下注射 胰岛素 空腹血糖 餐后2H血糖 不良妊娠结局 Continuous insulin pump injection Subcutaneous injection Insulin Fasting blood glucose 2h postprandial blood glucose Adverse pregnancy outcome
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