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目的 研究动态血糖监测系统配合胰岛素注射对妊娠期糖尿病的治疗效果.方法 选取80例妊娠期糖尿病患者随机分为观察组和对照组各40例,对照组使用指尖血糖仪配合胰岛素注射完成治疗,观察组采取动态血糖监测系统配合胰岛素注射完成治疗.比较两组患者在治疗前和治疗2周后不同时间点血糖水平、高血糖控制情况及C肽、胰岛素水平、产妇和新生儿并发症.结果 观察组患者空腹、早餐2h后、午餐前、午餐2h后、晚餐前、晚餐2h后、睡前血糖显著低于对照组患者,差异均有统计学意义(P＜0.05).观察组患者血糖控制时间、症状缓解时间、平均住院时间显著短于对照组患者,差异均有统计学意义(P＜0.05).观察组患者空腹C肽、餐后2hC肽水平显著高于对照组患者,空腹胰岛素、餐后2h胰岛素水平显著低于对照组患者,差异均有统计学意义(P＜0.05).观察组患者并发症、新生儿并发症发生率显著低于对照组患者,差异均有统计学意义(P＜0.05).结论 动态血糖监测系统配合胰岛素注射在妊娠期糖尿病的治疗过程中,临床疗效良好,并发症少.“,”Objective To study the curative effect of dynamic blood glucose monitoring system combined with insulin injection in treatment of gestational diabetes mellitus (GDM).Methods Eighty GDM patients were randomly divided into observation group and control group,40 patients in each group.The patients in control group were treated by fingertip glucometer and insulin injection.The patients in observation group were treated by dynamic blood glucose monitoring system combined with insulin injection.The levels of blood glucose,C-peptide,insulin,hyperglycemia control,maternal and neonatal complications before treatment and at different time points after two weeks in the two groups were compared.Results The levels of blood glucose before breakfast,at two hours after breakfast,before lunch,at two hours after lunch,before supper,at two hours after supper,and before going to bed in observation group were statistically significantly lower than those in control group (P＜0.05).The time of blood glucose control,symptom remission,and mean hospitalization time in observation group were statistically significantly shorter than that in control group (P＜0.05).The levels of fasting C-peptide and 2-hour postprandial C-peptide in observation group were statistically significantly higher than those in control group (P＜0.05).The levels of fasting insulin and 2-hour postprandial insulin in observation group were statistically significantly lower than those in control group (P＜0.05).The incidence rates of maternal and neonatal complications in observation group were statistically significantly lower than those in control group (P＜0.05).Conclusion The clinical effect of dynamic blood glucose monitoring system combined with insulin injection in treatment of GDM is good,and the complications are few.