首页|维生素D滴剂联合门冬胰岛素在妊娠期糖尿病患者中的应用分析

维生素D滴剂联合门冬胰岛素在妊娠期糖尿病患者中的应用分析

Application of Vitamin D Drops Combined with Insulin Aspart in Patients with Gestational Diabetes

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目的 分析妊娠期糖尿病(Gestational Diabetes Mellitus,GDM)患者采用维生素D滴剂联合门冬胰岛素(Insulin Aspart,IA)治疗的效果.方法 选取2022年8月—2023年7月晋江市医院晋南分院收治的88例GDM患者为研究对象,使用随机数表法分为两组,各44例.对照组患者使用IA治疗,在此基础上研究组患者联合维生素D滴剂治疗.比较两组血糖、胰岛功能、不良妊娠结局以及不良反应发生情况.结果 干预后,研究组餐后2 h血糖、空腹血糖低于对照组,差异有统计学意义(P均<0.05).与对照组相比,研究组胰岛β细胞功能指数更高,胰岛素抵抗指数更低,差异有统计学意义(P均<0.05).研究组不良妊娠结局发生率为4.55%,低于对照组的20.45%,差异有统计学意义(χ2=5.091,P<0.05).两组不良反应发生情况对比,差异无统计学意义(P>0.05).结论 GDM患者采用维生素D滴剂联合IA治疗能够有效降低血糖,改善胰岛功能,保障妊娠结局.
Objective To analyze the effect of vitamin D drops combined with insulin aspart(IA)in patients with ges-tational diabetes mellitus(GDM).Methods A total of 88 GDM patients admitted to Jinnan Branch of Jinjiang Hospital from August 2022 to July 2023 were selected as the study objects,and were divided into two groups according to a ran-dom number table method with 44 cases in each group.Patients in the control group were treated with IA,while pa-tients in the study group were treated with vitamin D drops on the basis of the control group.Blood glucose,islet func-tion,incidence of adverse pregnancy outcomes and adverse reactions were compared between the two groups.Results After the intervention,2 h postprandial blood glucose and fasting blood glucose in the study group were lower than those in the control group,the differences were statistically significant(both P<0.05).Compared with the control group,the β-cell function index of the study group was higher,and the insulin resistance index was lower,the differ-ences were statistically significant(both P<0.05).The incidence rate of adverse pregnancy outcomes in the study group was 4.55%,which was lower than 20.45%in the control group,the difference was statistically significant(χ2=5.091,P<0.05).There was no statistically significant difference between the two groups in the incidence of adverse re-actions(P>0.05).Conclusion In GDM patients,vitamin D drops combined with IA can effectively reduce blood glu-cose,improve islet function and guarantee pregnancy outcome.

Vitamin D dropsInsulin aspartGestational diabetes

林玉英、吴明怀、何晶晶

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晋江市医院晋南分院妇产科,福建晋江 362241

维生素D滴剂 门冬胰岛素 妊娠期糖尿病

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(6)
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