摘要
目的研究妊娠期糖尿病(GDM)患者胰岛素应用特点。方法分析2004年元月至2006年11月21例妊娠期糖尿病胰岛素治疗情况。结果34周GDM患者胰岛素用量明显多于24周胰岛素用量。应用诺和灵R占66.67%,诺和灵R联合诺和灵N占33.33%(其中R-R-R-N占28.57%,N+R-R-R-N占4.76%)。结论妊娠期糖尿病胰岛素用量随孕周增加而变化,大部分GDM患者可采用短效胰岛素控制血糖,部分患者联用中效,不宜用长效胰岛素,分娩当天及产后减少或停用胰岛素。
Objective： To investigate the characteristics of insulin requirements during pregnancy in women with gestational diabetes mellitus. Methods： 21 cases with gestational diabetes mellitus （GDM） were retrospective reviewed from 2004 to 2006, including required insulin during pregnancy. Results ： The dosage of required insulin with 34 week gestation was more that which 24 week gestation, NovoLin R was used to treat GDM about 66. 67% of all cases. NovoLin R and NovoLin N was used together to treat GDM about 33, 33% （ R - R - R - N accounted for 28.57%, N ＋ R - R - R - N accounted for 4. 76%, respectively）. Conclusion： The insulin require merits during pregnancy in women with GDM vary according to the gestation weeks. Most of GDM can be controlled blood glucose be use of the rapid - acting insulin, part of cases can be treated by the rapid - acting insulin and NPH insulin, these patient were not suitable for prolonged - acting insulin. The insulin should be decreased or ceded on the delivery day and postpartum.
出处
《中国优生与遗传杂志》
2007年第8期57-57,71,共2页
Chinese Journal of Birth Health & Heredity
关键词
妊娠期糖尿病
胰岛素
治疗
Gestational diabetes mellitus
Insulin
Therapy
