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目的:探讨动态血糖监测系统在妊娠期糖尿病血糖检测中的应用。方法:选取2008年4月～2011年10月62例妊娠期糖尿病孕妇为研究对象,按照入院顺序随机平均分为观察组和对照组,观察组给予动态血糖监测,对照组给予常规指尖血糖监测,对比两组产妇血糖控制情况。结果:①观察组孕妇低血糖发生率为6.45%,明显低于对照组的22.58%(P<0.05)。②观察组孕妇清晨空腹、早餐后、午餐前、午餐2h后、晚餐前、晚餐2h后以及睡前的血糖值水平分别为(5.68±0.32)mmol/L,(5.34±0.63)mmol/L,(6.21±0.45)mmol/L,(8.23±0.73)mmol/L,(7.13±0.65)mmol/L,(7.82±0.35)mmol/L,(5.67±0.51)mmol/L,均低于对照组(P<0.05)。③观察组孕妇血糖水平得到有效控制的时间为(6.50±1.80)天,住院时间为(14.30±1.80)天,明显短于对照组(P<0.05)。结论:动态血糖监测可以监测妊娠期糖尿病孕妇的血糖波动情况,可使血糖控制更加及时有效,值得推广应用。
Objective: To investigate the application of dynamic glucose monitoring system in the detection of gestational diabetes mellitus. Methods: From April 2008 to October 2011, 62 pregnant women with gestational diabetes mellitus were selected as study subjects. Randomly divided into observation group and control group according to the sequence of admission. The observation group was given dynamic blood glucose monitoring, while the control group was given conventional fingertip blood glucose monitoring , Comparing the two groups of maternal blood glucose control. Results: ① The incidence of hypoglycemia in pregnant women in observation group was 6.45%, which was significantly lower than that in control group (22.58%, P <0.05). ② In the observation group, the fasting fasting morning after breakfast, before breakfast, before lunch, after 2h, before dinner, after dinner for 2h and before going to sleep were (5.68 ± 0.32) mmol / L and (5.34 ± 0.63) mmol / L respectively (6.21 ± 0.45) mmol / L, (8.23 ± 0.73) mmol / L, (7.13 ± 0.65) mmol / L, (7.82 ± 0.35) mmol / L and (P <0.05). ③ The observation group’s blood glucose level was effectively controlled (6.50 ± 1.80) days, hospitalization time (14.30 ± 1.80) days, significantly shorter than the control group (P <0.05). Conclusion: Dynamic blood glucose monitoring can monitor blood glucose fluctuations in pregnant women with gestational diabetes, blood glucose control can be more timely and effective, it is worth promoting the application.