参芪降糖胶囊结合个性化综合护理对妊娠期糖尿病患者的临床治疗效果探讨

文章信息/Info

• Title:参芪降糖胶囊结合个性化综合护理对妊娠期糖尿病患者的临床治疗效果探讨

• 卷期:2024年22卷11期

• 作者:钟小慧

• 江西省泰和县中医院妇产科，江西 吉安 343700

• Author(s):Zhong Xiaohui

• Department of Obstetrics and Gynecology, Taihe County Hospital of Traditional Chinese medicine Jiangxi Ji'an 343700

• 关键词妊娠期糖尿病；参芪降糖胶囊；个性化综合护理

• Keywords: GESTATIONAL diabetes; Shenqi Jiangtang capsule; Individual comprehensive nursing

• 摘要:目的 探讨参芪降糖胶囊结合个性化综合护理对妊娠期糖尿病患者的临床治疗效果。方法 选取60例2018年1月~2021年12月我院收治的妊娠期糖尿病患者作为研究对象，以随机数字法分为对照组和观察组。对照组给予门冬胰岛素注射液，观察组在对照组的基础上给予参芪降糖胶囊，配合个性化综合护理。比较两组治疗后的临床疗效，治疗前、治疗后的血清血糖水平，治疗期间的血糖达标时间，妊娠结局及围产期并发症情况。结果 观察组总有效率为96.67%，高于对照组的80.00%（P<0.05）；观察组血糖达标时间短于对照组（P<0.05）；两组血清空腹血糖（FBG）、餐后2 h血糖（2 h PG）、糖化血红蛋白（HbA1c）平均低于治疗前；观察组早产、剖宫产、晚期流产发生率及围生期并发症发生率均低于对照组（P<0.05）。结论 参芪降糖胶囊结合个性化综合护理能够有效改善妊娠期糖尿病患者胰岛素抵抗的症状，进一步缩短患者血糖达标时间，降低患者围生期发生并发症及不良妊娠结局的风险，进而显著提高临床疗效。                                                                                                                                                                                

• Abstract to probe into the clinical therapeutic effect of Shenqi Jiangtang capsule combined with individualized comprehensive nursing on patients with gestational diabetes mellitus (GDM). Method Sixty patients with gestational diabetes mellitus (GDM) admitted to our hospital from January 2018 to December 2018 were 2021, Divided into control group and observation group by random number method.The control group was given insulin aspart injection, and the observation group was given Shenqi Jiangtang capsule on the basis of the control group,Cooperate with personalized comprehensive nursing.Compare the clinical efficacy of the two groups after treatment，Serum glucose level before and after treatment,Time of blood glucose reaching the standard during treatment，Pregnancy outcome and perinatal complications.Results The total effective rate of the observation group was 96.67%，80.00% higher than the control group (P<0.05);The time of reaching the standard of blood glucose in the observation group was shorter than that in the control group (P<0.05);CThe fasting blood glucose (FBG), 2h postprandial blood glucose (2h PG) and HbA1c in the two groups were lower than those before treatment;The incidence of premature delivery, cesarean section, late abortion and perinatal complications in the observation group were lower than those in the control group (P<0.05).onclusion  Shenqi Jiangtang capsule combined with individualized comprehensive nursing can effectively improve the symptoms of insulin resistance in patients with gestational diabetes mellitus, Further shorten the time to reach the target of blood glucose, To reduce the risk of perinatal complications and adverse pregnancy outcomes, And then significantly improve the clinical efficacy .                

  妊娠期糖尿病是妊娠期出现不同程度的糖耐量降低或高血糖的表现，是妊娠期常见的并发症，大部分患者可经合理的饮食调整及适当运动来实现血糖的控制，但患者如未得到及时治疗，可能导致羊水过多、孕产妇感染等其他并发症[1]。门冬胰岛素注射液是临床上比较常用的控制血糖的药物，其起效较快，能够改善妊娠期糖尿病患者的代谢水平，但该药物作用时间较短，因此会导致治疗效果具有一定的限制[2]。中医认为，妊娠期糖尿病属于“消渴”范畴，腑脏虚弱、气血阴阳失调而致气阴两虚为该病主要发病病因，因此，中医治疗妊娠期糖尿病以益气养阴、健脾养胃为主要原则[3]。参芪降糖胶囊由黄芪、枸杞子、人参茎叶总皂苷等中药组成，具有调理腑脏、益气补血的功效。