胰岛素泵联合人胰岛素在妊娠糖尿病治疗中的应用及护理

目的探讨胰岛素泵联合人胰岛素治疗妊娠糖尿病的临床疗效及护理经验。方法选择昌黎县人民医院62例妊娠糖尿病患者,在进行糖尿病健康教育、饮食和运动指导、监测血糖的基础上,随机分为胰岛素泵组（32例）和对照组（30例）。胰岛素泵组使用胰岛素泵持续皮下输注人胰岛素（诺和灵R）,并加强用泵护理;对照组应用人胰岛素（诺和灵30R）早、晚餐前30 min皮下注射。观察2组患者治疗后血糖控制情况、血糖达标时间、每日胰岛素用量、低血糖发生率和孕产妇、围生儿死亡率。结果 2组患者治疗后空腹血糖（FBG）及平均三餐后2 h血糖（2 hBG）均较治疗前明显降低,且胰岛素泵组较对照组降低更明显,差异有统计学意义（P〈0.01）;胰岛素泵组较对照组在血糖达标时间、每日胰岛素用量上差异有统计学意义（P〈0.01）;胰岛素泵组低血糖发生率、孕产妇和围生儿死亡率较对照组降低。结论用胰岛素泵联合人胰岛素治疗妊娠糖尿病,可使患者血糖控制稳定,增加母婴安全系数。

Application and Nursing Experience of Insulin Pump Combined with Human Insulin for Gestational Diabetes Mellitus

[Objective]To investigate the therapeutic effect and nursing experience of insulin pump combined with human insulin for gestational diabetes mellitus.[Methods]62 patients with gestational diabetes mellitus in Changli People's Hospital were randomly divided into the insulin pump group(32 cases) and the control group(30 cases).All of patients were given health education of diabetes mellitus,guidance for dietary and exercise,and monitoring of blood glucose.The insulin pump group was treated with continuous sub...