连续血糖监测对于妊娠期糖代谢异常血糖控制作用的研究

Effects on glucose control of abnormal glucose metabolism during pregnancy by continuous glucose monitoring system

对我院妊娠期糖代谢异常并住院控制血糖的52例患者行连续血糖监测（观察组），与同期49例未行连续血糖监测者（对照组）比较。观察组每日最高血糖主要集中出现于每日8：00～10：00，每日最低血糖主要集中出现于22：00一次日6：00；其中观察组早餐后血糖高值出现于早餐后（1．6±0．5）h，午餐后（1．6±1．2）h，晚餐后（1．6±0．8）h。观察组糖代谢异常White分类A2组（经饮食控制。空腹血糖35．8mmol／L，餐后2h血糖≥6．7mmol／L；23例）血糖水平较A1组（经饮食控制，空腹血糖〈5．8mmol／L，餐后2h血糖〈6．7mmol／L；23例）高，血糖波动系数差异有统计学意义。观察组新生儿出生体重低于对照组。

For the case study group, 52 pregnant women diagnosed as abnormal glucose metabolism and requiring in -hospital glucose control were selected for continuous glucose monitoring. And another 49 pregnant women with known glucose levels through serial glucose monitoring at the same period were taken as case control group. We divided the case study group into A1, A2 and B based on White＇s typing. In case study group, the glucose levels peaked at 8 to 10 am and dropped to the lowest levels at 10 pm to 6 am on the next day. The glucose of A2 group was markedly higher than that of A! group. The highest postprandial glucose of case study group happens at （ 1.6 ±0. 5 ） h after breakfast, （ 1.6 ± 1.2 ） h after lunch and （ 1.6 ± 0.8） h after dinner. The blood glucose wavy coefficient of patients of A1 and A2 groups had significant statistical difference. The newborn weight of case study group was lower than that of case control group.