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诺和锐特充联合黄芪四君子汤治疗妊娠糖尿病患者的疗效及对妊娠结局的影响
Impact of insulin aspart injection combined with Astragalus sijunzi soup on efficacy and pregnancy outcome in patients with gestational diabetes mellitus

内科 201506期 页码:793-795

作者机构:1甘肃省妇幼保健院,兰州市730050;2甘肃省第三人民医院,兰州市730020

基金信息:

DOI:DOI:10.16121/j.cnki.cn45-1347/r.2015.06.10

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目的探讨诺和锐特充联合黄芪四君子汤治疗妊娠糖尿病患者的临床疗效及妊娠结局。方法选取妊娠糖尿病患者220例作为研究对象,将其随机分为观察组和对照组,每组110例。对照组患者给予诺和锐特充治疗,观察组患者同对照组治疗的基础上加用黄芪四君子汤治疗。观察比较两组患者的临床疗效、血糖达标时间、胰岛素用量、不良反应发生率、围生期情况及妊娠结局。结果观察组患者治疗总有效率(83.6%)显著高于对照组(70.1%);差异有统计学意义(P<0.05)。观察组患者血糖达标时间短于对照组(P<0.05),胰岛素用量小于对照组患者(P<0.05);观察组患者恶心、腹泻、低血糖发生率显著低于对照组(P<0.05);观察组患者妊高征、新生儿低血糖、羊水过多发生率显著低于对照组患者(P<0.05),观察组患者晚期流产、早产、产褥感染的发生率低于对照组(P<0.05)。结论诺和锐特充联合黄芪四君子汤治疗妊娠期糖尿病患者临床疗效显著,能很好控制血糖水平,减少胰岛素用量,降低不良反应发生率,改善患者的妊娠结局,值得推广应用。
ObjectiveTo investigate the efficacy and pregnancy outcome of insulin aspart injection combined with Astragalus sijunzi soup in patients with gestational diabetes mellitus. MethodsA total of 220 patients with gestational diabetes mellitus were randomly divided into observation group and control group, with 110 cases in each group. The control group were given insulin aspart injection, while the observation group were given Astragalus sijunzi soup on the basis of the control group.The clinical efficacy, time of reaching target of glucose, dosage of insulin, incidence of adverse reactions, perinatal conditions and pregnancy outcome between the two groups were compared. ResultsThe total effective rate was 83.6% in observation group and 70.1% in control group with significant difference (P<0.05). Time of reaching target of glucose in observation group was significantly shorter than that in control group, and dosage of insulin in observation was significantly less than that in control group (P<0.05) , the incidence rate of nausea, diarrhoea, hypoglycemia, hypertension during pregnancy, neonatal hypoglycemia, polyhydramnios in observation group were lower than those in control group (P<0.05); the rate of abortion and preterm and the incidence of puerperal infection in the observation group were significantly lower than those in the control group (P<0.05). ConclusionsInsulin aspart injection combined with Astragalus sijunzi soup has a significant curative effect on gestational diabetes, good for controlling of blood sugar level, and can reduce dosage of insulin and the incidence of adverse reactions, improve pregnancy outcome and worthy of popularization.
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