胰岛素泵皮下注射和多次胰岛素皮下注射治疗妊娠期糖尿病患者的临床效果对比

Comparison of Clinical Effect Between Insulin Pump Subcutaneous Injection and Multiple Insulin Subcutaneous Injection in the Treatment of Gestational Diabetes Mellitus

目的对比分析胰岛素泵皮下注射和多次胰岛素皮下注射在治疗妊娠期糖尿病患者的临床效果。方法以随机抽取方式选取2016年3月—2018年3月在天津市蓟州区人民医院接受妊娠期糖尿病治疗的90例患者,根据不同治疗方式将其划分成对照组与观察组,每组各45例。对照组采用多次胰岛素皮下注射治疗,观察组采用胰岛素泵皮下注射治疗,比较两组临床治疗效果。结果观察组血糖达标时间短于对照组,胰岛素使用量少于对照组,空腹血糖与餐后2h血糖水平均低于对照组,比较差异有统计学意义;观察组母婴并发症发生率显著低于对照组(8.89%vs28.89%),差异有统计学意义。结论与多次胰岛素皮下注射治疗相比,胰岛素泵皮下注射在治疗妊娠期糖尿病中具有更高临床疗效与应用价值,可有效控制患者血糖水平,降低母婴并发症几率。

Objective To compare and analyze the clinical effects of insulin pump subcutaneous injection and multiple insulin subcutaneous injection in the treatment of gestational diabetes mellitus(GDM). Methods 90 cases with GDM treated in the hospital from March,2016 to March,2018 were randomly selected and divided into control group and observation group according to different treatment methods. The control group were treated with multiple subcutaneous insulin injection,and the observation group were treated with subcutaneous insulin pump injection. The clinical effects of the two groups were compared. Results Time of blood glucose returning to standard level of the observation group was shorter than the control group. The blood glucose levels were significantly lower than those in the control group,and the incidence of maternal and infant complications in the observation group was significantly lower than that in the control group(8.89% vs 28.89%). There was statistically significant difference. Conclusion Compared with multiple subcutaneous insulin injection,insulin pump subcutaneous injection has higher clinical efficacy and application value in the treatment of gestational diabetes mellitus,and can effectively control the blood glucose level of patients and reduce the probability of maternal and infant complications.