妊娠合并糖尿病孕妇围产期的用药指导及个性化护理应用效果.docVIP

精品论文 参考文献 妊娠合并糖尿病孕妇围产期的用药指导及个性化护理应用效果 黑龙江省铁力市人民医院 黑龙江铁力 152500 摘要：目的：探讨妊娠合并糖尿病孕妇围产期的用药指导及个性化护理应用效果。方法：选取于2015年5月到2016年4月在我院接受治疗的56例合并糖尿病患者为研究对象，将患者随机分为两组，观察组和对照组患者各28例，对照组采用常规护理方法。观察组采用个体化护理方法。结果：观察组空腹血糖异常为17.9%，对照组为64.3%，空腹血糖异常率观察组明显低于对照组，观察组餐后3小时血糖异常率、妊高压发生率、巨大儿发生率、新生儿窒息发生率分别为14.3%、28.6%、42.3%。对照组对应为42.3%、67.9%、78.6%，观察组均明显低于对照组。P＜0.05，差异具有统计学意义。结论：个体化护理干预对妊娠合并糖尿病患者有良好效果，能维持患者血糖平衡，减少并发症的发生，可在临床推广使用。 关键词：个体化护理干预；妊娠合并糖尿病；孕妇围产期；应用效果 [Abstract] Objective：To explore the application effect of medication instruction and individualized nursing care of pregnant women with gestational diabetes mellitus. Methods：in May 2015 to 2016 April in our hospital accepted treatment of 56 cases of diabetes patients as the object of study，the patients were randomly divided into two groups，the observation group and control group with 28 cases in each. The control group received routine nursing care. Individual nursing methods were adopted in the observation group. Results：observation group impaired fasting glucose was 17.9%，64.3% in the control group，impaired fasting glucose rate of the observation group was significantly lower than that of the control group，observation group meal after 3 hours blood glucose abnormality，pregnancy induced hypertension occurred rate，macrosomia incidence rate，neonatal asphyxia rate was 14.3%，28.6%，42.3%. The control group was 42.3%，67.9%，78.6%，and the observation group was significantly lower than that of the control group. P lt; 0.05，the difference was statistically significant. Conclusion：individualized nursing intervention on pregnancy with diabetes patients have good effect，can maintain the patients blood sugar balance，reduce the incidence of complications，can be used in clinical application. [Key words] Individual nursing intervention；pregnancy complicated with diabetes mellitus；pregnant women in perinatal period；application effect 妊娠合并糖尿病是指孕妇在妊娠期间首次发现或诊断出糖代谢异常。妊娠合并糖尿病在我国的发病率约为1%～14%，妊娠期发生合并糖尿病会对孕母和胎儿产生严重影响。其主要并发症为早产、感染、巨大儿等等。因此，我院通过对