胰岛素泵双波疗法联合健康教育对妊娠期糖尿病的疗效观察

Observation on the Effect of Insulin Pump Combined with Double Wave Therapyand Health Education on Gestational Diabetes Mellitus

目的 探讨胰岛素泵双波疗法联合健康教育对妊娠期糖尿病的临床效果.方法 选取2014 年6月-2016 年6月在我院接受治疗的167 例妊娠期糖尿病孕产妇进行分析,根据治疗方式的不同分为对照组（62 例）和观察组（105 例）,对照组患者实施常规胰岛素泵疗法结合健康教育,观察组患者实施胰岛素双波疗法结合健康教育,并比较两组患者血糖达标时间、血糖达标时胰岛素人均平均用量、并发症发生率和新生儿结局.结果 观察组孕产妇血糖达标时间和血糖达标时胰岛素人均平均用量与对照组比较差异具有统计学意义（P〈0.05）;观察组孕产妇并发症发生率以及新生儿不良预后结局与对照组比较差异具有统计学意义（P〈0. 05）.结论 采取胰岛素双波疗法结合健康教育不仅能有助于控制孕产妇血糖水平,还能显著减少孕产妇并发症和新生儿不良预后发生率.

Objective To explore the clinical effect of insulin pump combined with health education on gestational diabetesmellitus. Methods A total of 167 pregnant women with gestational diabetes mellitus who were treated in our hospital fromJune 2014 to June 2016 were divided i nto control g roup （n = 62） and observation g roup （n = 105） according to the differenttreatment methods. The control group The routine insulin pump therapy combined with health education was carried out.The patients in the observation group were treated with insulin double-wave therapy combined with health education. Thetime of blood glucose reaching the standard, the average dosage of insulin, complication rate and neonatal outcome werecompared. Results T here was significant d ifference b etween t he observation g roup a nd t he c ontrol g roup （ P 〈 0.05）. T heincidence of maternal complication and neonatal adverse outcome were significantly different between the observation groupand the control group Statistical significance （P 〈0.05）. Conclusion Taking insulin double-wave therapy combined with healtheducation can not only help to control maternal blood glucose levels, but also significantly reduce maternal complications andneonatal adverse prognosis.