论文部分内容阅读
目的探讨胰岛素泵联合个性化饮食方案治疗妊娠期糖尿病(GDM)对母婴结局的影响。方法收集该院2012年1月-2014年7月收治的GDM患者220例,随机分为试验组和对照组各110例。对所有患者进行常规治疗和护理,并使用胰岛素泵进行治疗,试验组患者在此基础上联合个性化饮食治疗,治疗后密切随访观察,比较2组患者血糖水平及不良分娩结局发生情况。结果治疗后试验组孕妇空腹血糖和餐后2h血糖水平控制更好,低于对照组,血糖控制时间短于对照组,酮症酸中毒和妊娠高血压综合征的发生率均低于对照组,试验组妊娠孕周长于对照组,胎盘早剥、巨大儿的发生率低于对照组,围生儿出生体质量低于对照组,差异均有统计学意义(P<0.05)。结论GDM患者在治疗时使用胰岛素泵联合个性化饮食的方法,可更有效地控制血糖,并减少不良结局的发生,具有良好的应用价值。
Objective To investigate the effect of insulin pump combined with personalized diet on gestational diabetes mellitus (GDM) on maternal and infant outcomes. Methods Totally 220 GDM patients admitted to our hospital from January 2012 to July 2014 were randomly divided into experimental group and control group with 110 cases each. All patients were routinely treated and treated with insulin pump. The patients in the experimental group were treated with personalized dietary therapy. The follow-up was followed up after treatment. The blood glucose level and the incidence of adverse childbirth were compared between the two groups. Results After treatment, fasting blood glucose and postprandial blood glucose levels of pregnant women in the experimental group were better controlled than those in the control group, and their blood glucose control time was shorter than that in the control group. The incidence of ketoacidosis and pregnancy induced hypertension syndrome were lower in the experimental group than in the control group. The gestational gestational age in the experimental group was lower than that in the control group, placental abruption and macrosomia, and the perinatal birth weight was lower than that in the control group (P <0.05). Conclusion GDM patients in the treatment of insulin pump combined with personalized diet can be more effective in controlling blood sugar, and reduce the incidence of adverse outcomes, and has good application value.