胰岛素控制妊娠期糖尿病血糖对妊娠结局的影响探究

Effect of Insulin on Gestational Diabetes Mellitus on Pregnancy Outcome

目的探讨胰岛素控制妊娠期糖尿病血糖对妊娠结局的影响。方法选取该科2017年10月—2018年10月收治的102例GDM孕妇,随机分为2组各51例,对照组给予常规治疗,观察组在对照组的基础上给予胰岛素。结果观察组FPG、2hPG显著低于对照组(P<0.05);观察组剖宫产率为47.1%,显著低于对照组68.6%(P<0.05);观察组妊娠并发症发生率为7.8%,新生儿并发症发生率为13.7%,显著低于对照组19.6%、29.4%(P<0.05)。结论GDM患者采用胰岛素控制血糖,可有效改善妊娠结局,减少母婴并发症。

Objective To investigate the effect of insulin on the pregnancy outcome of gestational diabetes mellitus.Methods 102 cases of GDM pregnant women admitted to our department from October 2017 to October 2018 were randomly divided into two groups of 51 patients.The control group received routine treatment and the observation group received insulin on the basis of the control group.Results The FPG and 2 hPG in the observation group were significantly lower than those in the control group(P<0.05).The cesarean section rate of the observation group was 47.1%,which was significantly lower than that of the control group(68.6%)(P<0.05).The incidence of pregnancy complications in the observation group was 7.8%.The incidence of neonatal complications was 13.7%,which was significantly lower than that of the control group of 19.6%,29.4%(P<0.05).Conclusion In patients with GDM,insulin is used to control blood glucose,which can effectively improve pregnancy outcome and reduce maternal and child complications.