中西医结合疗法对妊娠期糖尿病患者血糖及血脂水平的影响

目的 观察中西医结合治疗妊娠期糖尿病(GDM)患者血糖及血脂的临床疗效.方法 将妊娠期糖尿病患者120例回顾性均分为治疗组和对照组,治疗组采用饮食控制+胰岛素治疗+中药治疗,对照组采用饮食控制+胰岛素治疗,比较两组患者空腹血糖(FPG)、糖化血红蛋白(HbA1c)、甘油三酯(TG)、胆固醇(CHO)、低密度脂蛋白(LDL-C)的差异.结果 对照组治疗前后空腹血糖和糖化血红蛋白差异有显著性,甘油三酯、胆固醇和低密度脂蛋白间差异无显著性；治疗组治疗前后所有指标差异均有显著性.两组治疗后比较,空腹血糖、糖化血红蛋白和甘油三酯间比较,差异有显著性,而胆固醇和低密度脂蛋白差异无显著性.结论 中西医结合治疗可以有效控制妊娠期糖尿病患者的血脂、血糖水平,较单纯应用西医治疗效果更好.

Combination of Traditional Chinese and Western Medicine Therapy on Blood Glucose and Lipids for Gestational Diabetes Mellitus

ObjectiveTo observe combination of traditional Chinese and Western medicine treatment of blood glucose and lipids for gestational diabetes mellitus ( GDM ) patients in clinical efficacy.Methods120 gestational diabetes mellitus patients were retrospectively divided into treatment group and control group,the treatment group received diet control + insulin therapy plus traditional Chinese medicine treatment,control group received diet control,insulin therapy,and there impaired fasting glucose ( FPG ),glycosylated hemoglobin ( HbA1c ),glycerin three ester (TG ),cholesterol ( CHO ),low density lipoprotein ( LDLC ) differences were compared.ResultsThe control group before and after treatment had significant difference for of fasting blood glucose and glycated hemoglobin,while triglyceride,cholesterol and low density lipoprotein had no significant difference.But all indexes in the treatment group before and after treatment,had significant difference.For two groups after treatment,fasting blood glucose,glycosylated hemoglobin and triglycerides had significant difference,while cholesterol and low density lipoprotein had no significant differences.ConclusionsCombination of traditional Chinese and Western medicine treatment can effectively controll blood lipid,blood glucose levels in patients with gestational diabetes mellitus,the treatment effect is better than pure western medicine.