胰岛素注射治疗妊娠糖尿病的价值体会

The Value of Insulin Injection in the Treatment of Gestational Diabetes

目的分析胰岛素注射治疗妊娠糖尿病的价值。方法择取本院2018年1月-2018年12月期间接收的妊娠糖尿病患者作为研究对象,40例患者经数字随机分组法被分为两组,每组20例。对照组患者服用二甲双胍进行治疗,观察组则给予门冬氨酸胰岛素治疗。比较两组患者的血糖水平与妊娠结局情况。结果观察组患者的空腹血糖为(5.13±0.52)mmol/L,餐后2 h血糖为(8.17±0.44)mmol/L,糖化血红蛋白为(6.83±0.71)%,均明显低于对照组,P<0.05;观察组患者的巨大儿发生率为5%,胎儿窘迫发生率为5%,产后出血发生率为0%,均明显较对照组低,P<0.05。结论胰岛素注射治疗妊娠糖尿病可以获得显著的控血糖效果,且有利于保证母婴安全。

Objective To analyze the value of insulin injection in the treatment of gestational diabetes.Methods Patients with gestational diabetes admitted from January 2018 to December 2018 were enrolled in the study.40 patients were divided into two groups by digital randomization,20 cases in each group.Patients in the control group were treated with metformin.The observation group was treated with aspartate insulin treatment.Blood glucose levels and pregnancy outcomes were compared between the two groups.Results The fasting blood glucose of the observation group was(5.13±0.52)mmol/L,the 2 h postprandial blood glucose was(8.17±0.44)mmol/L,and the glycated hemoglobin was(6.83±0.71)%,which was significantly lower than the control group,P<0.05;The incidence of macrosomia in the observation group was 5%,the incidence of fetal distress was 5%,and the incidence of postpartum hemorrhage was 0%,which was significantly lower than that in the control group,P<0.05.Conclusion Insulin injection can achieve significant glycemic control effect in the treatment of gestational diabetes,and it is beneficial to ensure maternal and child safety.