糖尿病新世界2024,Vol.27Issue(1) :101-104.DOI:10.16658/j.cnki.1672-4062.2024.01.101

门冬胰岛素结合地特胰岛素对妊娠期糖尿病患者妊娠结局的影响

Effect of Insulin Aspartate Combined with Insulin Detemine on Pregnancy Outcomes in Patients with Gestational Diabetes Mellitus

袁春 李文蔚 肖伶利
糖尿病新世界2024,Vol.27Issue(1) :101-104.DOI:10.16658/j.cnki.1672-4062.2024.01.101

门冬胰岛素结合地特胰岛素对妊娠期糖尿病患者妊娠结局的影响

Effect of Insulin Aspartate Combined with Insulin Detemine on Pregnancy Outcomes in Patients with Gestational Diabetes Mellitus

袁春 1李文蔚 1肖伶利1
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作者信息

  • 1. 兴化市妇幼保健院妇产科,江苏兴化 225700
  • 折叠

摘要

目的 探讨妊娠期糖尿病患者采取门冬胰岛素、地特胰岛素联合方式治疗的效果及对妊娠结局的影响.方法 选取2020年10月—2023年7月兴化市妇幼保健院接诊的120例妊娠期糖尿病患者作为研究对象,以随机数表法进行分组,对照组(n=60)单一用药门冬胰岛素;观察组(n=60)联合用药门冬胰岛素与地特胰岛素;对两组患者治疗前后血糖值予以检测,对比控制效果,观察且记录两组患者妊娠结局及新生儿结局,对比不良结局总发生率.结果 两组妊娠期糖尿病患者入院时接受血糖检测结果对比,差异无统计学意义(P>0.05),治疗后,观察组患者空腹及餐后2 h血糖值、糖化血红蛋白结果均低于对照组,差异有统计学意义(P均<0.05),观察组患者出现早产等不良妊娠结局的总发生率及新生儿窒息等不良新生儿结局的总发生率均低于对照组,差异有统计学意义(P均<0.05).结论 临床治疗妊娠期糖尿病可采取门冬胰岛素与地特胰岛素联合用药方式,相比单一用药控糖效果更佳,有效减少不良妊娠结局的出现,保障母婴安全.

Abstract

Objective To investigate the effect of combined treatment of insulin aspartate and insulin deteminate on pregnancy outcome in gestational diabetes mellitus.Methods A total of 120 patients with gestational diabetes were di-agnosed in Xinghua Maternal and Child Health Care Hospital from October 2020 to July 2023 were selected as the re-search objects,and they were grouped by random number table method.The control group(n=60)received insulin as-partate alone,and the observation group(n=60)received insulin aspartate combined with insulin deteminate.Blood glucose was measured before and after treatment in the two groups,and the control effect was compared.Pregnancy outcomes and neonatal outcomes of the two groups were observed and recorded,and the total incidence of adverse out-comes was compared.Results There was no statistically significant difference between the two groups in the blood glu-cose test results of pregnant women with diabetes at admission(P<0.05).After treatment,fasting and 2-hour postpran-dial blood glucose and glycated hemoglobin results of observation group were lower than those of control group,and the differences were statistically significant(all P<0.05).The total probability of adverse pregnancy outcomes such as premature birth and neonatal asphyxia in the observation group were lower than those in the control group,and the dif-ferences were statistically significant(both P<0.05).Conclusion In the clinical treatment of gestational diabetes melli-tus,the combination of insulin aspartate and insulin deteminate can be used,which has better sugar control effect than single drug,effectively reduces the occurrence of adverse pregnancy outcomes,and ensures the safety of mother and child.

关键词

门冬胰岛素/地特胰岛素/妊娠期糖尿病/妊娠结局

Key words

Insulin aspartate/Insulin deteminate/Gestational diabetes mellitus/Pregnancy outcome

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出版年

2024
糖尿病新世界
中国病理生理学会

糖尿病新世界

影响因子:0.461
ISSN:1672-4062
参考文献量18
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