妊娠合并糖尿病孕产妇不同时期加用胰岛素治疗对妊娠结局的影响

-精选财经经济类资料- -最新财经经济资料-感谢阅读- 1 妊娠合并糖尿病孕产妇不同时期加 用胰岛素治疗对妊娠结局的影响 摘要 目的 探讨妊娠合并糖尿 病孕产妇不同时期加用胰岛素治疗对妊 娠结局的影响。 方法 选取 2016 年 112 月该院收治的 220 例妊娠合并糖 尿病的孕产妇，随机将其分为两组，对 照组患者在孕周32 周时加用胰岛素治 疗，研究组患者在孕周中国论文网 /6/view-12967626.htm 关键词 胰岛素；妊娠；合并糖 尿病；不同时期；妊娠结局 中图分类号 R714.25 文献标识 码 A 文章编号 1672-4062（2017） 08（a）-0007-02 Effect of Insulin Treatment of -精选财经经济类资料- -最新财经经济资料-感谢阅读- 2 Pregnant Women with Diabetes at Different Periods on the Gestational Outcome ZHANG Ai-ping Dazhou Maternal and Child Healthcare Hospital， Dazhou， Sichuan Province， 635000 China Abstract Objective To study the effect of insulin treatment of pregnant women with diabetes at different periods on the gestational outcome. Methods 220 cases of pregnant women with diabetes admitted and treated in our hospital from January to December 2016 were selected and randomly divided into two groups， the control group added the insulin for treatment when the pregnant week 32 weeks， while the research group added the insulin for treatment when the pregnant week 32， and the blood glucose indicator and gestational outcome of the two groups were compared. Results The -精选财经经济类资料- -最新财经经济资料-感谢阅读- 3 fasting blood glucose and postprandial 2 h blood glucose in the research group and in the control group obviously decreased compared with those before treatment（P0.05） ， more obviously in the research group（P0.05） ， the incidence rate of complications such as cesarean section rate， excessive amniotic fluid， postpartum infection， postpartum hemorrhage and pregnancy induced hypertension in the research group was obviously lower than those in the control group（P0.05 ） ， and the incidence rate of neonatal hypoglycemia， macrosomia and neonatal asphyxia in the research group was obviously lower than that in the control group（P0.05 ）. Conclusion The insulin treatment for pregnant women whose pregnant week 32 weeks contributes to improving the blood glucose level and obviously reduce the incidence rates of gestational -精选财经经济类资料- -最新财经经济资料-感谢阅读- 4 complications and adverse outcomes of newborns. Key words Insulin； Pregnant； Combined with diabetes； Different periods； Gestational outcome 妊娠期合并糖尿病是指孕产妇妊 娠过程中首次发现的一定程度糖耐量异 常，妊娠期糖尿病在临床产科孕产妇较 为常见的并发症，其发生率在国内约为 2%6%，近几年来妊娠期糖尿病发生 率呈现出每年不断增加的趋势1。妊娠 期糖尿病较易引起胎儿早产、流产、巨 大儿、剖宫产率增加、胎儿畸形和胎死 腹中等不良妊娠结局，这对国内母婴身 心健康带来严重影响，所以加强妊娠期 糖尿病患者孕产期血糖的积极控制对改 善母婴状况十分重要。该研究选取 2016 年 112