分析胰岛素(皮下注射)对妊娠期糖尿病患者血糖控制效果及妊娠结局的改善

Analysis on the Effect of Insulin (Subcutaneous Injection) on Blood Glucose Control and Improvement of Pregnancy Outcome in Patients with Gestational Diabetes

目的对胰岛素(皮下注射)对妊娠期糖尿病患者血糖控制效果及妊娠结局的改善效果展开系统分析。方法利用Excel表统计筛选出2019年4月-2021年4月该院治疗的妊娠期糖尿病患者126例作为探究目标,随机分为对照组(n=63)、观察组(n=63),对照组以常规对症治疗,观察组在对照组的基础上配合皮下注射胰岛素治疗,研究两组患者的血糖控制效果、产妇、新生儿妊娠结局、血糖水平、血糖恢复时间、新生儿免疫功能水平。结果治疗前,观察组患者的血糖水平和对照组相比,差异无统计学意义(P>0.05);治疗后,与对照组相比,观察组血糖水平、新生儿免疫功能水平改善明显,差异有统计学意义(P<0.05);观察组血糖控制有效率为96.82%高于对照组80.95%,差异有统计学意义(P<0.05);观察组产妇、新生儿妊娠结局优于对照组,差异有统计学意义(P<0.05);与对照组相比,观察组血糖恢复时间较短,差异有统计学意义(P<0.05)。结论在常规对症治疗的基础上配合皮下注射胰岛素治疗妊娠期糖尿病患者血糖控制效果优,血糖水平与新生儿免疫功能水平改善显著,产妇、新生儿妊娠结局优,血糖恢复时间缩短。

Objective To conduct a systematic analysis of the effect of insulin(subcutaneous injection)on blood glucose control and pregnancy outcome improvement in patients with gestational diabetes.Methods The 126 cases of gestational diabetes patients treated in the hospital were selected using the Excel table as the research target from April 2019 to April 2021,and randomly divided into the control group(n=63)and the observation group(n=63).The control group was treated with conventional symptomatic treatment,and the observation group was treated with subcutaneous insulin injection on the basis of the control group to study the effect of blood glucose control,maternal,neonatal pregnancy outcome,blood glucose level,blood glucose recovery time,and neonatal immune function level of the two groups.Results Before treatment,there was no statistically significant difference in blood glucose level between observation group and control group(P>0.05);after treatment,blood glucose level and neonatal immune function level of observation group were significantly improved,compared with control group,the difference was statistically significant(P<0.05).The effective rate of blood glucose control in observation group was 96.82%,which was higher than that in control group 80.95%,the difference was statistically significant(P<0.05);the maternal and neonatal pregnancy outcomes in the observation group were better than the control group,the difference was statistically significant(P<0.05);the blood glucose recovery time of observation group was shorter than that of control group,the difference was statistically significant(P<0.05).Conclusion On the basis of conventional symptomatic treatment,combined with subcutaneous insulin injection in the treatment of gestational diabetes patients,the blood glucose control effect is excellent,the blood glucose level and the neonatal immune function level are significantly improved,the maternal and neonatal pregnancy outcome is excellent,and the blood glucose recovery time is shortened.