作者单位：523537东莞市广东省东莞市常平医院内分泌科

阳爱芳：女 ，大专，副主任护师

·临床研究·

胰岛素泵持续强化治疗妊娠期糖尿病的临床效果研究

阳爱芳

摘要目的：探讨胰岛素泵持续强化治疗妊娠期糖尿病的临床效果与护理对策。方法：选取2012年2月~2014年2月于我院接诊的妊娠期糖尿病孕妇82例作为研究对象，随机将其等分为观察组与对照组，对照组予以常规胰岛素注射治疗，试验组予以胰岛素泵持续强化治疗，并同时辅以相同的护理措施，比较两组治疗效果。结果：试验组空腹血糖、餐后2 h血糖、糖化血红蛋白水平及胰岛素用量均明显低于对照组，差异有统计学意义(P<0.05)，且试验组低血糖、羊水过多、剖宫产及不健康胎儿数均明显低于对照组，但满意度却显著高于对照组，两组比较差异均有统计学意义(P<0.05)。结论：胰岛素泵持续强化治疗妊娠期糖尿病可有效控制血糖水平，辅以精心护理，能够大大提升母婴安全系数，值得临床推广应用。

关键词妊娠；糖尿病；胰岛素泵doi:10.3969/j.issn.1672-9676.2015.02.003

收稿日期：(2014-12-05)

Clinical effect of continue to strengthen the insulin pump therapy gestational diabetes mellitus

YANG Ai-fang(Changping Hospital of Dongguan city Guangdong province，Dongguan523537)

AbstractObjective:To explore the clinical effect of continuous enhancement of insulin pump therapy and nursing countermeasures of gestational diabetes mellitus.Methods:From February 2012 to February 2014,82 gestational diabetes patients in our hospital admissions were randomly divided into two groups,the patients in control group received conventional insulin injection therapy,while experimental group patients were treated with insulin pump continuous intensive treatment,and at the same time with the same nursing measures,treatment effect comparison of two groups.Results:The experimental group FPG,2hPPG,HbA1c levels and insulin dosage were significantly lower than the control group,the difference was significantly (P<0.05).Moreover,the experimental group of hypoglycemia,polyhydramnios,cesarean section and not healthy fetuses were significantly lower than that of control group, but the satisfaction was significantly higher than that in the control group,the difference between the two groups were statistically significant(P<0.05).Conclusion:Continue to strengthen the conclusion of insulin pump in the treatment of gestational diabetes,which can effectively control blood glucose levels,with careful nursing can greatly improve maternal and child safety coefficient,is worth the clinical promotion.

Key wordsGestational stage;Diabetes;Insulin pump

妊娠糖尿病(gestational diabetes mellitus，GDM)是指一些孕妇在怀孕期间并发糖尿病，是孕期妇女比较常见疾病，多见于妊娠中晚期高危孕妇[1]。GDM病发率较低，通常在1%~6%左右，但随着近年国内糖尿病发病率的急剧上升，GDM发病率已高达9.16%[2-3]。为了保障母婴健康安全，提高婴儿出生质量，加强妊娠期糖尿病孕妇的血糖控制至关重要。据此，本文就胰岛素泵持续强化治疗与胰岛素常规注射治疗妊娠期糖尿病的临床效果进行对比探讨，并对其临床护理进行探索分析。现报道如下。

1资料与方法

1.1基本资料选择我院2012年2月~2014年2月接诊的82例妊娠期糖尿病孕妇为研究对象，年龄21~35岁，平均年龄(28.32±4.23)岁。孕期为27~36周，平均孕周(31.46±2.08)周。所有孕妇均符合糖尿病相关诊断标准，且排除不宜研究的特例，并自愿签署知情同意书。……