【摘要】 目的探讨对使用胰岛素治疗孕妇实施个性化管理的临床意义。方法将56例因饮食控制不佳需胰岛素治疗单胎孕妇分为两组:32例愿意院外胰岛素治疗者作为研究组,24例住院者作为对照组。比较2组分娩孕周,新生儿出生体重,妊娠期高血压疾病、早产、胎膜早破、胎儿窘迫及新生儿低血糖的发生率。结果2组分娩孕周,新生儿出生体重差异无统计学意义(P>0.05);妊娠期高血压疾病、早产、胎儿窘迫、胎膜早破及新生儿低血糖等母婴并发症差异亦无统计学意义(P>0.05)。结论医生、孕妇、家庭多方协作实施院外个性化管理,同样可以维持血糖正常,有效改善母婴预后。更多还原

【Abstract】 Objective To investigate clinical sense of individual management of no hospitalized received insulin injection GDM Methods 56 received insulin injection GDM were selected in our hospital,all of them couldn’t keep their blood sugar in normal scope underwent diet control.They were divided into two groups according to their wish:32 cases of them who wanted to stay out of hospital belonged to individual management group and the others staying in hospital was control group.Results Difference of delivery time,neonatal birth weight,pregnancy weight gain,hypertensive disorders complicating pregnancy,premature delivery,premature rupture of membrane,fetal distress,neonatal hypoglycemia between two groups is meaningless in statistics(P >0.05).Conclusion No hospitalized Received insulin injection GDM’s individual management through doctor,pregnant women themselves and family member’s cooperation can keep their blood sugar in normal scope also,it is have same good result to no hospitalized received insulin injection GDM and their baby.更多还原