胰岛素泵治疗妊娠期糖尿病疗效观察.docVIP

胰岛素泵治疗妊娠期糖尿病疗效观察 　　[摘要] 目的 探讨胰岛素泵治疗妊娠期糖尿病的临床效果。方法 以该院2014年10月―2016年10月产科收治的84例妊娠期糖尿病患者为研究对象，按照平均分配的原则分为对照组和观察组，每组患者42例，观察组给予胰岛素泵治疗，对照组给予胰岛素皮下注射治疗，对比两组患者的临床指标。结果 治疗后观察组的血糖指标情况明显优于对照组，且糖化血红蛋白百分比低于对照组；观察组产妇发生并发症的例数明显低于对照组；观察组围生儿发生并发症情况明显优于对照组，差异有统计学意义（P0.05）。结论 对妊娠期糖尿病患者使用胰岛素泵治疗方式，能够有效改善患者的血糖情况，降低患者及围生儿并发症发生率，值得临床推广与应用。 　　[关键词] 胰岛素泵；妊娠期糖尿病；临床；疗效 　　[中图分类号] R58 [文献标识码] A [文章编号] 1672-4062（2017）01（b）-0186-02 　　[Abstract] Objective To discuss the clinical effect of insulin pump in treatment of gestational diabetes. Methods 84 cases of patients with gestational diabetes admitted and treated in our hospital from October 2014 to October 2016 were selected and divided into two groups with 42 cases in each， the observation group were treated with insulin pump， while the control group adopted the hypodermic injection of insulinum， and the clinical indexes were compared between the two groups. Results After treatment， the blood sugar index in the observation group was obviously better than that in the control group， and the ratio of glycosylated hemoglobin and incidence rate of complications in the observation group were obviously lower than those in the control group， and the incidence rate of complications during the perioperative period was obviously better than that in the control group， and the difference had statistical significance（P0.05）. Conclusion The insulin pump in treatment of gestational diabetes can effectively improve the blood sugar and reduce the incidence rate of complications of patients and perinatal infants， which is worth clinical promotion and application. 　　[Key words] Insulin pump； Gestational diabetes； Clinic； Curative effect 　　根??相关数据资料显示，我国妊娠期糖尿病的发病率为3%～4%[1-2]。因此，采取何种积极有效的方式控制妊娠期糖尿病患者的血糖指标，成为相关医务人员临床研究的重要课题。基于此，该院对妊娠期糖尿病患者实施胰岛素泵治疗方式，取得良好临床效果，现做如下报道说明。 　　1 资料与方法 　　1.1 一般资料 　　以该院2014年10月―2016年10月产科收治的84例妊娠期糖尿病患者为研究对象，所有患者均经过空腹血糖、餐后2 h血糖、OGTT等临床检查，被确诊为妊娠期糖尿病。按照平均分配的原则分为对照组和观察组，每组患者42例，年龄范围为23～42岁之间，平均年龄为（29.58±2.96）岁，其中初产妇为42例，经产妇为42例。所有患者在年龄、孕