动态血糖监测系统在妊娠期糖尿病治疗中的应用分析

摘要

Objective: To evaluate the clinical effects of continuous glucose monitoring system (CGMS) in patients with gestational diabetes mellitus (GDM). Method: 40 cases of patients with GDN were divided into two groups randomly-the control group (20 cases) and the treatment group (20 cases). CGMS were employed in the treatment group ,while the control group only used the fingertip glucometer to monitor glucose. Then the level of the glucose were compared in both groups. Result: The incidences of the glucose of treatment group were significantly lower than that in the control group ( P ＜ 0. 05 ); the general situation of the glucose control in treatment group were also significantly better than that in the control group , such as glucose control time (6.3 ± 2.7 d v.s. 9.4 ± 3.3 d, P ＜ 0.05 ), symptom relief time (7.5 ±2.8 d v. s.11.6 ± 4.2 d,P ＜ 0.05), average time in hospital (9.4 ± 3.5 d v.s 14.6 ± 4.3 d,P ＜ 0.01) ;The situation of HbA1c for two groups suggested that the treatment group was more stable than the control group on the glucose control. Conclusion: The clinical effects of CGMS is better than the control group , which only can take the use of diet-control methods.%目的:研究动态血糖监测系统(CGMS)配合胰岛素注射治疗妊娠期糖尿病(GDM)的临床效果.方法:将40例糖尿病患者随机分为两组,对照组20例和治疗组20例:两组患者均采取控制饮食、运动的方案,对于严重者采取胰岛素治疗.对照组采取指尖血糖仪监测血糖;治疗组用动态血糖监测系统监测血糖变化.比较两组的相应血糖控制指标情况.结果:治疗组的低血糖发生率显著低于对照组(P<0.05),治疗组血糖控制的一般情况要优于对照组,如血糖控制时间(9.54±4.3 d v.s.6.2±3.3 d,P<0.05),症状缓解时间(15.6±5.3 d v.s.12.5±3.8 d,P<0.05),平均住院时间(24.5±6.2 d v.s 20.3±4.3 d,P<0.01);两组糖化血红蛋白及血糖指标比较实验组的血糖控制比对照组平稳.结论:通过动态血糖监测系统配合指导治疗妊娠期糖尿病效果优于应用指尖血糖仪监测血糖,能更好的控制血糖,可以在临床上推广.