林华强

[摘要] 目的 观察胰岛素泵治疗妊娠糖尿病的临床疗效。 方法 采取投掷硬币法将2016年2—10月期间在该院妇产科接受治疗的56例妊娠糖尿病患者分成A组与B组，每组分为28例。均给予诺和灵R治疗，A组通过胰岛素泵给药，B组实施皮下注射。比较两组血糖水平、血糖达标时间以及母婴并发症发生情况。 结果 治疗后，A组妊娠糖尿病患者的空腹血糖水平为（6.59±0.84）mmol/L，2 h血糖水平为（9.36±1.12）mmol/L，血糖达标时间为（6.58±1.21）d，母婴并发症发生率为7.14%，均优于B组数据差异有统计学意义（P<0.05）。 结论 妊娠糖尿病采用胰岛素泵治疗效果优于皮下注射，在积极控制血糖水平的同时，使血糖水平尽快达标，促进胎儿正常生长发育，效果令人满意，降糖效果十分明显。

[关键词] 妊娠糖尿病；胰岛素泵；临床效果

[中图分类号] R587.1 [文獻标识码] A [文章编号] 1672-4062（2017）05（a）-0013-02

Clinical Efficacy of Insulin Pump in Treatment of Gestational Diabetes Mellitus

LIN Hua-qiang

Medical Department， Juxian Peoples Hospital， Rizhao， Shandong Province， 276500 China

[Abstract] Objective This paper tries to observe the clinical effect of insulin pump in the treatment of gestational diabetes mellitus. Methods 56 cases of gestational diabetes mellitus treated by the department of gynecology and obstetrics in the hospital from February 2016 to October， 2016 were divided into group A and group B by casting coins， with 28 cases in each group. Both groups received novolin R treatment， group A was given drugs by insulin pump， and group B by subcutaneous injection. Blood glucose levels， blood glucose compliance time and maternal and child complications of both groups were compared. Results After treatment， the fasting blood glucose level in group A was （6.59±0.84） mmol/L， the blood glucose level of two hours after dinner was （9.36±1.12） mmol/L and the time of standard blood glucose was （6.58±1.21） d， and the incidence of maternal and neonatal complications was 7.14%， which were better than that of group B The ClAferenes were statiotically significat（P<0.05）. Conclusion The therapeutic effect of insulin pump is better than that of subcutaneous injection. The positive control of blood glucose level and the blood glucose level can be achieved， and the normal growth and development of the fetus are satisfactory， and the hypoglycemic effect is obvious.

[Key words] Gestational diabetes； Insulin pump； Clinical effect

妊娠时期患上的糖尿病称为妊娠糖尿病，在妊娠阶段患有糖尿病会对母婴健康造成严重影响，患有妊娠糖尿病的孕妇妊娠高血压疾病、流产率、尿路感染的几率比普通孕妇高。需及时采取措施控制血糖水平，预防可能出现羊水过多、产后出血以及孕产妇死亡等并发症。到目前为止，胰岛素是糖尿病常用的治疗药物，其能够在较短的时间内使糖尿病患者的血糖水平降低，给药方式上分为皮下注射和胰岛素泵注射。给药方式的不同会在一定程度上影响治疗效果，为了观察胰岛素泵治疗妊娠糖尿病的临床疗效，该文将皮下注射胰岛素疗效作为对照，选取该院2016年2—10月妊娠糖尿病患者56例，现报道如下。

1 资料与方法

1.1 一般资料

该次研究对象是在该院妇产科诊治的56例妊娠糖尿病患者，将合并妊娠高血压等其他妊娠合并症的患者排除，所有患者临床资料完整，该次研究已通过医学伦理委员会的审核批准。……