不同时期加用胰岛素治疗妊娠合并糖尿病孕产妇的对血糖控制效果及妊娠结局的影响

Effects of insulin therapy on blood glucose control and pregnancy outcome in pregnant women with diabetes mellitus

目的:探究不同时期加用胰岛素治疗妊娠合并糖尿病孕产妇对血糖控制的效果及妊娠结局的影响。方法:选取本院接受治疗的妊娠合并糖尿病孕妇90例,随机分为对照组、观察组,各45例。对照组患者于32周后应用胰岛素配合饮食治疗,观察组患者于32周前实行,观察两组患者的血糖情况以及妊娠结局。结果:观察组患者的产后并发症发生率低于对照组,各项数据有统计学意义(P<0.05)。结论:在妊娠早期对患有糖尿病的孕妇使用胰岛素治疗,能有效降低孕妇的各种并发症,还能降低新生儿各种病症的发生率,治疗效果比在妊娠后期使用药物治疗效果更好,最好是在32周之前应用治疗。

Objective:To explore the effect of insulin on blood glucose control and pregnancy outcome of pregnant women with gestational diabetes combined with pregnancy in different stages. Methods: A total of 90 pregnant women with gestational diabetes who received treatment in our hospital were selected. Patients in the control group were treated with insulin and diet after 32 weeks, and patients in the observation group were treated before 32 to observe their blood glucose and pregnancy outcome. Results: The incidence of postpartum complications in the observation group was lower than that in the control group( P < 0.05). Conclusion: Insulin treatment in pregnant women with diabetes in early pregnancy can effectively reduce the complications of pregnant women, and also reduce the incidence of various diseases in neonates. The treatment effect is better than that of drug treatment in late pregnancy. It is better to use the treatment before 32 weeks.