妊娠糖尿病患者胰岛素泵的应用与护理

目的比较胰岛素泵强化治疗与传统多次皮下注射胰岛素强化治疗在妊娠糖尿病患者的疗效观察与护理。方法将妊娠糖尿病患者43例,随机分为观察组和对照组,观察组21例应用胰岛素泵强化治疗控制血糖,对照组22例于三餐前及睡前强化治疗控制血糖。比较两组的血糖达标的时间、血糖稳定情况、胰岛素用量、低血糖发生的次数。结果观察组的血糖控制更稳定,血糖达标时间、胰岛素用量及低血糖发生次数,均明显低于对照组（P〈0.01）。结论妊娠糖尿病患者应用胰岛素泵更安全、有效的控制血糖从而使妊娠糖尿病患者稳定了血糖水平,安全度过围产期。

Application of Insulin Pump and Nursing in Patients with Gestational Diabetes Mellitus

Objective To compare the effects of insulin pump therapy and traditional multiple subcutaneous insulin injection in the patients with gestational diabetes mellitus（GDM）. Methods 43 cases of patients with GDM were randomly divided into the observation group and the control group, 21 cases in observation group and 22 cases in the control group. Insulin pump was used in observation group. Treatment of short-time acting insulin before meals and mediate-time acting insulin before bedtime were used in control group. Blood glucose, blood glucose fluc- tuation, insulin dosage and hypoglycemia were measured. Results Compared with the control group, the time of reaching target, the levels of blood glucose fluctuation, insulin dosage and onsets of hypoglycemia were significantly lower （P〈0.01）.Conclusion Use of insulin pump in patients with GDM is a more safe and effective method to stabilize blood sugar levels.