妊娠期糖尿病患者不同孕周行胰岛素治疗的疗效及妊娠结局的探讨(1)
【摘 要】目的：针对不同孕周的妊娠期糖尿病孕妇使用胰岛素治疗后的临床效果与妊娠结局进行深度分析，并总结经验。方法：选取200例2016年7月到2019年1月间前来我院就诊的妊娠期糖尿病孕妇作为研究对象，根据孕周的不同，将所有患者平均分为两组，每组各100例。两组孕妇均使用胰岛素治疗，其中将孕周>32周者设置为对照组，孕周≤32周者设置为观察组，并将两组结果相比较。结果：观察组HbAlc、FBG、2hBG、MODD、MAGE控制情况均优于对照组，观察组孕妇与新生儿并发症总发生率均低于对照组，观察组总满意度高于对照组，观察组物质生活、社会功能、躯体功能、生理功能评分均高于对照组，观察组处于优势地位，差异明显(P值<0.05)。结论：不同孕周的妊娠期糖尿病孕妇使用胰岛素治疗后的临床效果有一定的差异，孕周≤32周的孕妇经皮下注射胰岛素后的效果要好于孕周>32周的孕妇。
【关键词】不同孕周;妊娠期糖尿病;胰岛素;妊娠结局
Abstract Objective：To analyze the clinical effects and pregnancy outcomes of pregnant women with gestational diabetes at different gestational ages and to summarize their experiences. Methods：A total of 200 pregnant women with gestational diabetes who came to our hospital from July 2016 to January 2019 were selected as subjects. According to the difference of gestational age， all patients were divided into two groups， 100 in each group. In both groups， pregnant women were treated with insulin. The patients with gestational age >32 weeks were set as the control group， and the gestational weeks ≤32 weeks were set as the observation group， and the results of the two groups were compared. Results：The control status of HbAlc， FBG， 2hBG， MODD and MAGE in the observation group was better than that in the control group. The total incidence of complications in the observation group was lower than that in the control group. The total satisfaction of the observation group was higher than that of the control group. The scores of life， social function， physical function and physiological function were higher than those of the control group， and the observation group was in a dominant position with significant difference (P<0.05). Conclusion： The clinical effects of insulin therapy in pregnant women with gestational age at different gestational weeks are different. The effect of subcutaneous injection of insulin in pregnant women ≤ 32 weeks is better than that in pregnant women > 32 weeks gestational age.
Key words： different gestational weeks; gestational diabetes; insulin; pregnancy outcome
【中圖分类号】 R714【文献标识码】 B【文章编号】 1672-3783(2019)05-03-008-01
前言
妊娠期糖尿病(简称GDM-Gestational Diabetes Mellitus)作为一种在产科内通常是指糖代谢在妊娠期前为正常水平，但在妊娠期间却发生或首次出现的糖尿病[1]。随着经济水平和生活水平的不断提高，我国妊娠期糖尿病发病率也呈不断增加的趋势。究其原因还是因为在临床上，绝大部分的孕妇在妊娠期间患有糖尿病后，对该疾病的认知不够全面，且不了解相关知识，致使孕妇的依从性不高，对母婴的预后的危害也较大。基于此，我们需要寻求有效的治疗方法来提高预后效果，本次研究旨在针对不同孕周的妊娠期糖尿病孕妇使用胰岛素治疗效果是否有所差别，现将本次研究报道如下：
1 资料与方法
1.1 临床资料 选取200例2016年7月到2019年1月间前来我院就诊的妊娠期糖尿病孕妇作为研究对象，根据孕周的不同，将所有患者平均分为两组，每组各100例。, 百拇医药(胡维)
【关键词】不同孕周;妊娠期糖尿病;胰岛素;妊娠结局
Abstract Objective：To analyze the clinical effects and pregnancy outcomes of pregnant women with gestational diabetes at different gestational ages and to summarize their experiences. Methods：A total of 200 pregnant women with gestational diabetes who came to our hospital from July 2016 to January 2019 were selected as subjects. According to the difference of gestational age， all patients were divided into two groups， 100 in each group. In both groups， pregnant women were treated with insulin. The patients with gestational age >32 weeks were set as the control group， and the gestational weeks ≤32 weeks were set as the observation group， and the results of the two groups were compared. Results：The control status of HbAlc， FBG， 2hBG， MODD and MAGE in the observation group was better than that in the control group. The total incidence of complications in the observation group was lower than that in the control group. The total satisfaction of the observation group was higher than that of the control group. The scores of life， social function， physical function and physiological function were higher than those of the control group， and the observation group was in a dominant position with significant difference (P<0.05). Conclusion： The clinical effects of insulin therapy in pregnant women with gestational age at different gestational weeks are different. The effect of subcutaneous injection of insulin in pregnant women ≤ 32 weeks is better than that in pregnant women > 32 weeks gestational age.
Key words： different gestational weeks; gestational diabetes; insulin; pregnancy outcome
【中圖分类号】 R714【文献标识码】 B【文章编号】 1672-3783(2019)05-03-008-01
前言
妊娠期糖尿病(简称GDM-Gestational Diabetes Mellitus)作为一种在产科内通常是指糖代谢在妊娠期前为正常水平，但在妊娠期间却发生或首次出现的糖尿病[1]。随着经济水平和生活水平的不断提高，我国妊娠期糖尿病发病率也呈不断增加的趋势。究其原因还是因为在临床上，绝大部分的孕妇在妊娠期间患有糖尿病后，对该疾病的认知不够全面，且不了解相关知识，致使孕妇的依从性不高，对母婴的预后的危害也较大。基于此，我们需要寻求有效的治疗方法来提高预后效果，本次研究旨在针对不同孕周的妊娠期糖尿病孕妇使用胰岛素治疗效果是否有所差别，现将本次研究报道如下：
1 资料与方法
1.1 临床资料 选取200例2016年7月到2019年1月间前来我院就诊的妊娠期糖尿病孕妇作为研究对象，根据孕周的不同，将所有患者平均分为两组，每组各100例。, 百拇医药(胡维)