胰岛素皮下泵联合心理干预对妊娠糖尿病的治疗效果分析
Analysis on the effect of insulin subcutaneous pump combined with psychological intervention on the treatment of gestational diabetes mellitus
李妙红 1李丽芬 1叶张艳 1徐晓巧1
作者信息
- 1. 浙江省丽水市中心医院 产科,浙江 丽水 323000
- 折叠
摘要
目的 探究胰岛素皮下泵联合心理干预对妊娠糖尿病的治疗效果.方法 选择2015年11月～2016年10 月在浙江省丽水市中心医院并确诊的118例患者为研究对象,根据患者入院时间随机进行分组,分为试验组和对照组,各59例.试验组进行胰岛素皮下泵结合心理干预治疗方法;对照组采用单独的胰岛素皮下泵治疗方法.结果 试验组干预前完全依从度仅为28.81%,干预后完全依从度达86.44%,差异具有统计学意义(P＜0.05).治疗后2组患者患者血糖、糖化血红蛋白均低于治疗前,治疗前后差异具有统计学意义(P＜0.05).2组研究对象的并发症包括:孕妇羊水过多、新生儿低血糖症、妊娠高血压综合征等,2组并发症发生率的差异有统计学意义(P＜0.05).结论 对妊娠糖尿患者者及时、准确地进行心理指导,可以使血糖控制在正常范围,减少母婴并发症的发生与发展,确保母婴平安健康.
Abstract
Objective To explore the effect of insulin subcutaneous pump combined with psychological intervention on gestational diabetes mellitus.Methods A total of 118 patients were enrolled in this study from November 2015 to October 2016 in Lishui central hospital.The patients were randomly divided into the experimental group and the control group according to the time of hospitalization.The experimental group was given insulin subcutaneous pump combined with psychological intervention.The control group was given insulin subcutaneous pump.Results After intervention, the degree of complete compliance in the experimental group was 86.44% and 28.81% before intervention, the difference was statistically significant(P<0.05).Compared with before treatment, blood glucose and glycosylated hemoglobin were decreased after treatment(P<0.05).The incidence of complications in the two groups include: pregnant women with excessive amniotic, neonatal hypoglycemia, pregnancy induced hypertension syndrome and so on.The difference of complication rate between the two groups was statistically significant(P<0.05).Conclusion The timely and accurate psychological guidance of pregnant women with diabetes mellitus can control the blood glucose in the normal range, reduce the occurrence and development of maternal and child complications, and ensure the safe and healthy mother and child health.
关键词
妊娠糖尿病/胰岛素泵/心理干预Key words
gestational diabetes mellitus/insulin subcutaneous pump/psychological intervention引用本文复制引用
出版年
2017
NETL
NSTL
维普
万方数据