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目的探讨胰岛素泵联合个性化饮食干预对妊娠期糖尿病患者血糖、母婴结局的影响。方法选取鹤壁市人民医院内分泌科2014年1月—2015年1月收治的180例妊娠期糖尿病患者,按随机数字表法分为观察组和对照组,各90例。对照组应用胰岛素泵治疗,观察组在对照组基础上增加个性化饮食干预,比较两组患者的血糖控制效果及母婴结局。结果治疗后观察组空腹血糖(FBG)、餐后2h血糖(2h PBG)低于对照组,观察组患者的血糖达标时间短于对照组,胰岛素用量低于对照组,妊娠高血压综合征、胎盘早剥、巨大儿发生率低于对照组,差异有统计学意义(P<0.05)。结论胰岛素泵联合个性化饮食干预治疗GDM的效果显著,能有效降低患者血糖,同时减少胰岛素用量,降低妊娠并发症发生风险,改善母婴结局。
Objective To investigate the effect of insulin pump combined with personalized diet intervention on blood glucose and maternal and infant outcomes in patients with gestational diabetes mellitus. Methods 180 cases of gestational diabetes mellitus admitted from January 2014 to January 2015 in Hebi Municipal People’s Hospital were divided into observation group and control group according to the random number table method, each with 90 cases. The control group was treated with insulin pump. The observation group was given individualized diet intervention on the basis of the control group. The blood sugar control effect and maternal-infant outcome were compared between the two groups. Results After treatment, fasting blood glucose (FBG) and postprandial 2h blood glucose (2h PBG) in the observation group were lower than those in the control group. The observation group was shorter than the control group in blood glucose, insulin dosage was lower than the control group, pregnancy-induced hypertension syndrome, placenta The incidence of abruption, macrosomia was lower than the control group, the difference was statistically significant (P <0.05). Conclusion The effect of insulin pump combined with personalized diet intervention on GDM is significant. It can effectively reduce the blood sugar, reduce the dosage of insulin, reduce the risk of pregnancy complications and improve the outcome of maternal and infant.