摘要
目的观察子午流注择时揿针联合瞬感血糖监测对妊娠期糖尿病(GDM)的血糖及妊娠结局的影响。方法选取本院产科门诊首次就诊并确诊为GDM的患者120例,按随机数字表法分为对照组、治疗1组和治疗2组,每组各40例。对照组采用常规护理方法,治疗1组在对照组的基础上加子午流注择时揿针治疗,治疗2组在对照组的基础上加子午流注择时揿针联合瞬感血糖监测,对三组患者治疗前后的空腹血糖、餐后2 h血糖、血糖监测的依从性以及妊娠结局进行对比分析,评价子午流注择时揿针联合瞬感血糖监测对血糖的控制效果及妊娠结局的影响。结果治疗前对照组、治疗1组与治疗2组的空腹血糖、餐后2 h血糖数值比较差异无统计学意义(P>0.05)。与本组治疗前比较,治疗后对照组、治疗1组、治疗2组患者的空腹血糖和餐后2 h血糖降低,差异均有统计学意义(P<0.05)。治疗后,与对照组比较,治疗1组、治疗2组患者的空腹血糖和餐后2 h血糖降低,患者监测血糖的依从性提高,自然分娩率提高,新生儿窒息和巨大儿发生率及新生儿低血糖和新生高胆红素血症发生率降低,差异均有统计学意义(P<0.05);与治疗1组比较,治疗2组患者的空腹血糖和餐后2 h血糖降低,患者监测血糖的依从性高,自然分娩率高,新生儿低血糖和新生高胆红素血症发生率降低,差异均有统计学意义(P<0.05)。新生儿窒息率和巨大儿发生率虽有差别,但差异无统计学意义(P>0.05)。结论GDM患者通过子午流注择时揿针联合瞬感血糖监测对血糖进行控制,控制效果显著,妊娠结局良好,值得在产科门诊推广。
Objective To observe the effect of ZiwuLiuzhu press acupuncture at the selected time combined with instantaneous blood glucose monitoring on blood glucose and pregnancy outcome in gestational diabetes mellitus(GDM).Methods A total of 120 patients who were diagnosed with GDM for the first time in the obstetrics outpatient department of our hospital were selected and randomly divided into the control group,the treatment group 1 and the treatment group 2,with 40 cases in each group.And the control group received routine nursing methods.On the basis of the control group,the treatment group 1 was treated with press acupuncture at selected times of ZiwuLiuzhu,while the treatment group 2 was treated with press acupuncture at selected times of ZiwuLiuzhu combined with instantaneous blood glucose monitoring on the basis of the control group.Fasting blood glucose(FPG),2 h postprandial blood glucose(PPG),adherence to blood glucose monitoring and pregnancy outcomes were compared and analyzed,so as to evaluated its effect on blood glucose control and pregnancy outcomes.Results Before the treatment,there was no significant difference in FPG and PPG among the three groups(P>0.05).After the treatment,the FPG and PPG of patients all decreased in the three groups,compared to the base line,the differences were statistically significant(P<0.05).Compared with the control group,the FPG and PPG of the patients in the treatment group 1 and the treatment group 2 were decreased,and the patients'adherence with blood glucose monitoring and the spontaneous delivery rate were both increased.While the incidence of neonatal asphyxia and macrosomia and the neonatal incidences of hypoglycemia and neonatal hyperbilirubinemia were decreased,and the difference was statistically significant(P<0.05).Compared with the treatment group 1,the FPG and PPG of the patients in the treatment group 2 were decreased with higher adherence and higher spontaneous delivery rate.While the incidence of neonatal hypoglycemia and neonatal hyperbilirubinemia were decreas
出处
《浙江临床医学》
2023年第8期1159-1160,1163,共3页
Zhejiang Clinical Medical Journal
关键词
子午流注
揿针疗法
瞬感血糖监测
妊娠期糖尿病
ZiwuLiuzhu
Press acupuncture
Instantaneous blood glucose monitoring
Gestational diabetes mellitus
