首页|妊娠糖尿病实施临床综合治疗方法的效果分析

妊娠糖尿病实施临床综合治疗方法的效果分析

Analysis of the Effectiveness of Clinical Comprehensive Treatment Meth-ods for Gestational Diabetes

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目的 分析妊娠糖尿病采用临床综合治疗方法的疗效.方法 随机选取2020年4月—2022年12月漳州市第二中医院收治的222例妊娠糖尿病患者为研究对象,以随机数表法将患者分成参照组与观察组,各111例.参照组实施常规的药物治疗,观察组实施胰岛素注射治疗同时给予饮食治疗、运动治疗等综合治疗,比较两组患者的血糖指标改善情况、产妇分娩妊娠结局、新生儿妊娠结局.结果 观察组空腹血糖(Fasting Plasma Glucose,FPG)、餐后2 h血糖(Postprandial Plasma Glucose at 2 Hours,2 hPG)和糖化血红蛋白(Glycosyl-ated Hemoglobin A1c,HbA1c)比治疗前有明显改善,其下降幅度优于参照组,差异有统计学意义(P均<0.05).观察组的自然分娩率(82.88%)高于参照组(61.26%),产后出血发生率(1.80%)低于参照组(8.11%),差异有统计学意义(P均<0.05).观察组的不良新生儿妊娠结局发生率低于参照组,差异有统计学意义(P<0.05).结论 妊娠糖尿病患者开展综合治疗,能有效改善患者的妊娠结局,疗效明显,血糖得到良好控制,保障母婴健康与安全.
Objective To analyze the efficacy of clinical comprehensive treatment methods for gestational diabetes.Methods From April 2020 to December 2022,222 patients with gestational diabetes admitted to Zhangzhou Second Hospital of Traditional Chinese Medicine were randomly selected as the study objects and were divided into a refer-ence group and an observation group using the random number table method,with 111 cases in each group.The con-trol group received conventional drug treatment,while the observation group received insulin injection treatment and comprehensive treatment such as diet treatment and exercise treatment.The improvement of blood sugar indicators,maternal delivery and pregnancy outcomes,and neonatal pregnancy outcomes were compared between the two groups of patients.Results The observation group showed significant improvements in fasting plasma glucose(FPG),postpran-dial plasma glucose at 2 hours(2 hPG),and glycated hemoglobin A1c(HbA1c)compared to before treatment,with a greater decrease than the control group,and the differences were statistically significant(all P<0.05).The natural de-livery rate of the observation group(82.88%)was higher than that of the control group(61.26%),and the incidence of postpartum hemorrhage(1.80%)was lower than that of the control group(8.11%),and the differences were statistically significant(both P<0.05).The incidence of adverse neonatal pregnancy outcomes in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Comprehensive treatment for patients with gestational diabetes can effectively improve the patient's pregnancy outcome.The effect is obvious,blood sugar is well controlled,and the health and safety of mother and baby are ensured.

Gestational diabetesInsulinComprehensive treatmentPregnancy outcomeClinical effect

姚凤珠、赖艺明、蔡艳君

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漳州市第二中医院妇产科,福建漳州 363000

妊娠糖尿病 胰岛素 综合治疗 妊娠结局 临床效果

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
年,卷(期):2024.27(2)
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