论文部分内容阅读
目的分析穴位按摩对妊娠期糖尿病患者的干预效果及对血糖和妊娠结局的影响。方法将90例妊娠期糖尿病患者随机分为治疗组和对照组各45例,对照组患者给予常规药物、饮食治疗,治疗组患者在此基础上给予穴位按摩,比较两组患者治疗后的疗效、治疗前后空腹血糖和餐后2 h血糖、糖化血红蛋白、治疗前后空腹血清C肽和餐后2 h血清C肽、胰岛素用量及经治疗后的妊娠结局。结果治疗组治疗总有效率91.11%显著高于对照组68.89%,两组差异有统计学意义(P<0.05)。两组患者治疗前空腹血糖和餐后2 h血糖、糖化血红蛋白比较差异无统计学意义(P>0.05);两组患者治疗后空腹血糖和餐后2 h血糖、糖化血红蛋白较治疗前均显著下降,治疗组分别为(6.91±1.67)mmol/L、(0.55±0.06)mmol/L、(6.77±0.41)%低于对照组的(7.89±1.25)mmol/L、(9.83±2.17)mmol/L、(7.91±0.68)%,差异有统计学意义(P<0.05)。两组患者治疗前空腹、餐后2 h血清C肽比较差异无统计学意义(P>0.05);两组患者治疗后空腹、餐后2 h血清C肽较治疗前明显增加,治疗组分别为(0.51±0.07)nmol/L、(0.55±0.06)nmol/L高于对照组的(0.41±0.06)nmol/L、(0.49±0.04)nmol/L,且治疗组胰岛素用量(32.62±5.24)U显著少于对照组(55.86±8.71)U,两组差异均有统计学意义(P<0.05)。治疗组患者中剖宫产、羊水过多、产后出血、低血糖、妊娠高血压的发生率均显著低于对照组,两组差异有统计学意义(P<0.05);治疗组患者中新生儿窒息、早产儿、巨大儿、胎儿宫内窘迫、死胎、高胆红素血症的发生率均显著低于对照组,两组差异有统计学意义(P<0.05)。结论穴位按摩可增强妊娠期糖尿病患者的治疗效果,有效控制患者血糖,改善妊娠结局,建议在临床上加以推广应用。
Objective To analyze the effect of acupoint massage on gestational diabetes mellitus patients and its effect on blood sugar and pregnancy outcome. Methods Ninety patients with gestational diabetes mellitus were randomly divided into treatment group (45 cases) and control group (45 cases). Patients in the control group were given conventional drugs and diet therapy. The patients in the treatment group were given acupoint massage. The curative effect of the two groups was compared. Fasting blood glucose and postprandial blood glucose, glycosylated hemoglobin, fasting serum C-peptide and postprandial 2-h serum C-peptide, insulin dosage and post-treatment pregnancy outcome before and after treatment. Results The total effective rate of treatment group was 91.11%, which was significantly higher than that of control group (68.89%). There was significant difference between the two groups (P <0.05). There was no significant difference in fasting blood glucose and postprandial 2h blood glucose and glycosylated hemoglobin between the two groups before treatment (P> 0.05); fasting blood glucose and postprandial 2h blood glucose and HbA1c in both groups were significantly lower than those before treatment (6.91 ± 1.67) mmol / L, (0.55 ± 0.06) mmol / L and (6.77 ± 0.41)% in the treatment group were significantly lower than those in the control group (7.89 ± 1.25 mmol / L, 9.83 ± 2.17 mmol / L, (7.91 ± 0.68)%, the difference was statistically significant (P <0.05). The serum C-peptide levels of fasting and postprandial 2-h post-treatment in two groups had no significant difference (P> 0.05). The serum C-peptide levels in fasting group and postprandial 2-h group were significantly higher than those before treatment (0.51 ± 0.07) nmol / L and (0.55 ± 0.06) nmol / L were significantly higher than those in the control group (0.41 ± 0.06 nmol / L and 0.49 ± 0.04 nmol / L, U was significantly less than the control group (55.86 ± 8.71) U, the difference between the two groups was statistically significant (P <0.05). The incidences of cesarean section, polyhydramnios, postpartum hemorrhage, hypoglycemia and pregnancy-induced hypertension in the treatment group were significantly lower than those in the control group (P <0.05). Neonates Asphyxia, premature children, giant children, fetal distress, stillbirth, hyperbilirubinemia were significantly lower than the control group, the difference between the two groups was statistically significant (P <0.05). Conclusion Acupoint massage can enhance the therapeutic effect of gestational diabetes mellitus, effectively control the blood sugar of patients and improve the pregnancy outcome. It is suggested that it should be popularized and applied clinically.