摘要
目的探讨妊娠期糖尿病的胰岛素治疗对血糖、妊娠结局的影响。方法该院于2016年2月—2018年1月选择88例妊娠期糖尿病患者,随机分为观察组和对照组,各44例。观察组<32周、对照组≥32周给予胰岛素起始治疗。结果观察组分娩前血糖水平、糖化血红蛋白水平均低于对照组,差异有统计学意义(P<0.05);观察组剖宫产率为20.45%、对照组为43.18%,差异有统计学意义(P<0.05);观察组新生儿窒息、早产儿、新生儿低血糖的发生率、高血压、感染及羊水过多、酮症酸中毒的发生率均明显低于对照组,差异有统计学意义(P<0.05)。结论妊娠期糖尿病早期给予胰岛素治疗,可有效控制血糖,改善母婴结局。
Objective To investigate the effect of insulin therapy on gestational diabetes mellitus on blood glucose and pregnancy outcome.Methods88patients with gestational diabetes from February2016to January2018were randomly divided into observation group and control group,with44cases in each group.Insulin treatment was initiated in the observation group<32weeks and the control group≥32weeks.Results The blood glucose level and glycated hemoglobin level of the components before delivery were lower than those of the control group(P<0.05).The cesarean section rate was20.45%in the observation group and43.18%in the control group,the different was statistically significant(P<0.05).The neonatal asphyxia and premature birth in the observation group as well as the incidence of hypoglycemia,hypertension,infection and polyhydramnios,and ketoacidosis were significantly lower in children and neonates than in the control group,the different was statistically significant(P<0.05).Conclusion Early treatment of insulin in gestational diabetes can effectively control blood glucose and improve maternal and infant outcomes.
作者
张虹
李娟
ZHANG Hong;LI Juan(Department of Endocrinology and Metabolism,Yunnan First People's Hospital,Kunming,Yunnan Province,650032 China)
出处
《糖尿病新世界》
2018年第23期103-104,共2页
Diabetes New World Magazine
关键词
妊娠期糖尿病
胰岛素
血糖控制
妊娠结局
Gestational diabetes
Insulin
Blood glucose control
Pregnancy outcome
