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目的:探讨妊娠合并糖尿病患者使用胰岛素泵对孕妇及胎儿的影响。方法:84例应用胰岛素治疗妊娠合并糖尿病的患者分为3组,对照组A 28例用人胰岛素进行胰岛素泵治疗;对照组B 27例每天门冬胰岛素3次注射加中效人胰岛素(NPH)1次注射治疗;观察组29例用门冬胰岛素进行胰岛素泵治疗。比较3组妊娠合并症及新生儿合并症发生率。结果:应用胰岛素泵注射门冬胰岛素组的人群血糖控制更稳定,减少低血糖发生率,显著降低母婴并发症。结论:门冬胰岛素代谢快而强,安全性好,是目前泵用胰岛素治疗糖尿病合并妊娠的优选方案。
Objective: To investigate the effect of insulin pump on pregnant women and fetus in pregnancy complicated with diabetes mellitus. Methods: Eighty-four insulin-treated women with gestational diabetes mellitus were divided into three groups. In control group, 28 patients received insulin pump for insulin pump. In control group, 27 patients received insulin aspart 3 times daily plus insulin (NPH) 1 Injection therapy; observation group, 29 cases of insulin aspart insulin pump therapy. The incidence of complications of pregnancy and neonatal complications in the three groups were compared. Results: Insulin pump insulin aspart injection group more stable blood sugar control, reduce the incidence of hypoglycemia, significantly reduce the complications of mother and child. Conclusion: Aspart insulin metabolism is fast and strong, and it is safe. It is the best choice of pump insulin therapy for diabetes complicated with pregnancy.