胰岛素泵联合个性化饮食方案治疗妊娠糖尿病的疗效观察

The clinical effect observation of insulin pump and personalized diet program in gestational diabetes

目的探讨胰岛素泵联合个性化饮食方案治疗妊娠并糖尿病的疗效。方法将220例妊娠并糖尿病患者随机分为研究组及对照组各110例。对照组给予胰岛素泵治疗,研究组给予胰岛素泵联合个性化饮食治疗方案。比较2组患者的血糖水平、血糖达标时间、胰岛素用量及妊娠结局等指标。结果 2组患者治疗后的FBG、2h BG水平均低于治疗前,且研究组低于对照组,差异均有统计学意义(P<0.05)。研究组血糖达标时间短于对照组,胰岛素用量均低于对照组,差异均有统计学意义(P<0.05)。研究组孕产妇及围生儿病死率低于对照组,但差异无统计学意义(P>0.05)。结论胰岛素泵联合个性化饮食方案治疗妊娠糖尿病,可有效控制患者的血糖水平,缩短血糖达标时间,并减少了胰岛素的使用量,增加了母婴安全性,具有重要临床意义。

Objective To analysis the clinical effect of insulin pump and personalized diet program in gestational dia- betes. Methods 220 cases patients with gestational diabetes were randomly divided into research group and control group, each of 110 cases. Control group was treated by insulin pump, Research group was treated by insulin pump and personalized di- et program. After treatment, compared the blood sugar levels, blood glucose time, insulin dosage, pregnancy outcome of 2 groups. Results The level of FBG,2hBC of 2 groups after treatment was less than that of before treatment, and the level of FBG,2hBC of research group after treatment was less than that of control group, the difference was statistically significant（ P 〈 0. 05 ）. The blood glucose time of research group was less than that of control group, insulin dosage was less than that of control group, the difference was statistically significant （ P 〈 0.05 ）. The mortality of maternal and perinatal children of observation group was less than that of control group, but the difference was no statistically significant （ P 〉 0.05 ）. Conclusion Insulin pump and personalized diet program in gestational diabetes can efficacy control the level of blood sugar, shorter the blood glu- cose time ,reduce the insulin dosage, increased maternal and child safety, worthy of clinical application.