社区护理干预对妊娠糖尿病病人的血糖控制和妊娠结局的影响探讨.docVIP

精品论文 参考文献 社区护理干预对妊娠糖尿病病人的血糖控制和妊娠结局的影响探讨 吕秀兰山东省广饶县人民医院 257300 　　【摘 要】目的：研究分析生活方式干预对妊娠糖尿病患者的血糖控制和妊娠结局的影响。方法：选取我院2013 年5 月到2014 年5 月所收治的妊娠糖尿病患者130 例作为研究对象，按随机表法将其分成两组，即观察组与对照组，对照组患者采取常规护理措施，在此基础之上，对观察组患者实施生活方式干预措施，并对两组患者的血糖控制及其妊娠结局进行对比与观察。 　　结果：干预前，观察组与对照组在FPG、2hPG 以及HbAlc 等的比较上无明显差异；干预后，观察组患者FPG、2hPG 以及HbAlc等指标明显低于对照组，差异显著，具有统计学意义（P＜0.05；观察组孕产妇并发症发生率为13.85%，对照组孕产妇并发症发生率为24.62%，两组对比差异显著，具有统计学意义（Plt;0.05）；观察组围产儿并发症发生率为16.92%，对照组则为26.15%，两组对比差异显著，具有统计学意义（Plt;0.05）。结论：在常规护理的基础之上，对妊娠期糖尿病患者实施生活方式干预，能够有效降低患者的血糖水平，降低并发症的发生率，值得在临床上大力推广与使用。 　　【关键词】生活方式；妊娠糖尿病；血糖控制Community Nursing Intervention for Gestational Diabetes Patients to Explore the Influence of Glycemic Control and PregnancyOutcomeLv XiulanGuangrao County of Shandong Province Peoples Hospital，257300Abstract：Objective to study the analysis of the lifestyle intervention of glycemic control in patients with gestational diabetes andpregnancy outcomes.Selection methods from May 2013 to May 2014 treated 130 cases of patients with gestational diabetes mellitus as theresearch object，it is divided into two groups according to random table method，the observation group and control group，control grouppatients with routine nursing measures，on this basis，the observation group patients lifestyle intervention measures，and glycemic control andpregnancy outcomes in two groups of patients compared with observation.Results before intervention，the observation group and controlgroup in the FPG，2 HPG and HbAlc etc.There is no obvious difference of comparison；After the intervention，the observation group ofpatients with FPG，2 HPG and HbAlc index significantly lower than the control group，significant difference，statistically significant（P lt;0.05；observation group maternal complications was 13.85%，the control of maternal complications was 24.62%，significantly differencecompared the two groups，with statistical significance（P lt; 0.05）；the observation group of perinatal complication rate was 16.92%，thecontrol group was 26.15%，significantly diffe