[1]付继锋,王琪,石玉芬△.诺和锐特充联合黄芪四君子汤治疗妊娠期糖尿病110例[J].西部中医药,2018,31(06):91-93.
　FU Jifeng,WANG Qi,SHI Yufen.Insulin Aspart Combined with HuangQi SiJunZi Decoction in Treating 110 Patients with Gestational Diabetes[J].Western Journal of Traditional Chinese Medicine,2018,31(06):91-93.
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诺和锐特充联合黄芪四君子汤治疗妊娠期糖尿病110例()
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《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
31
期数:
2018年06期
页码:
91-93
栏目:
出版日期:
2018-06-15

文章信息/Info

Title:
Insulin Aspart Combined with HuangQi SiJunZi Decoction in Treating 110 Patients with Gestational Diabetes
文章编号:
1004-6852(2018)06-0091-03
作者:
付继锋1，王琪1，石玉芬2△
1 庆阳市妇幼保健计划生育服务中心，甘肃 庆阳 745000； 2 甘肃省妇幼保健院
Author(s):
FU Jifeng1, WANG Qi1, SHI Yufen2△
1 Qingyang Municipality Maternal and Child-care, Family Planning Service Center, Qingyang 745000, China; 2 Gansu Provincial Maternity and Child-care Hospital
关键词:
妊娠期糖尿病; 诺和锐特充; 黄芪四君子汤; 妊娠结局
Keywords:
gestational diabetes;  insulin aspart injection;  HuangQi SiJunZi decoction;  pregnancy outcome
分类号:
R587.2
文献标志码:
B
摘要:
目的：观察诺和锐特充联合黄芪四君子汤治疗妊娠期糖尿病的临床疗效。方法：将220例患者随机分为2组，每组110例。对照组给予诺和锐特充治疗，观察组在对照组治疗的基础上给予黄芪四君子汤治疗，2组均连续治疗3个月。观察2组患者血糖达标时间、胰岛素用量及不良反应发生率和妊娠结局。结果：血糖达标时间、胰岛素用量2组比较，差异有统计学意义(P＜0.05)。不良反应发生率观察组为11.8%，对照组为36.4%，2组比较差异有统计学意义(P＜0.05)。总不良结局率观察组为21.8%，对照组为61.8%，2组比较差异有统计学意义(P＜0.05)。新生儿低血糖、羊水过多、妊娠高血压综合征的发生率观察组低于对照组，2组比较差异有统计学意义(P＜0.05)。结论：诺和锐特充联合黄芪四君子汤治疗妊娠糖尿病患者可缩短血糖达标时间，减少胰岛素用量，降低不良反应的发生率，改善妊娠结局。
Abstract:
Objective: To explore clinical effects of insulin aspart injection combined with HuangQi SiJunZi decoction in treating gestational diabetes. Methods: All 220 patients were randomized into two groups, 110 cases each group. The control group were treated by insulin aspart injection, while the observation group by HuangQi SiJunZi decoction based on the therapy the control group accepted, both groups were treated for three months consecutively. Pregnancy outcome, the incidence of adverse reaction, the dosages of insulin and the time of blood glucose reaching the standard of both groups were observed. Results: The difference had statistical meaning in the comparisons of the time of blood glucose reaching the standard and the dosages of insulin (P＜0.05). The incidence of adverse reaction of the observation group was 11.8%, lower than 36.4% of the control group, and the difference was statistically significant (P＜0.05). Total adverse outcome rate of the observation group was 21.8%, lower than 61.8% of the control group, and there was a significant difference (P＜0.05). The observation group was lower than the control group in the incidences of adverse reactions such as neonatal hypoglycemia, hydramnion and pregnancy-induced hypertension, and the difference had statistical meaning (P＜0.05). Conclusion: Insulin aspart injection combined with HuangQi SiJunZi decoction in treating the patients suffering gestational diabetes could shorten the time of blood glucose reaching the standard, reduce the dosage of insulin, decrease the incidence of adverse reaction and improve pregnancy outcome.

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备注/Memo

备注/Memo:
收稿日期：2016-10-29 作者简介：付继锋(1977—)，男，副主任医师。研究方向：妇科疾病的临床诊治。 △通讯作者：石玉芬(1966—)，女，主任医师。研究方向：高危妊娠。
更新日期/Last Update: 2018-06-15