20146糖尿病母亲新生儿的护理(中英文）.pptVIP

Intrapartum prevention产时预防 Closely monitor blood glucose, urine glucose and ketone bodies, in order to make sure the blood sugar is not less than 5.6mmol/L (100mg/dl), stopping regular hypodermic insulin injection during the delivery, 分娩时，应严密监测血糖、尿糖和酮体，为使血糖不低于5.6mmol/L（100mg/dl），产程中一般应停用皮下注射正规胰岛素， intravenous infusion 0.9% NS and plus regular insulin, according to the blood sugar value ,adjust the venous transfusion speed, provide heat and prevent hypoglycemia. 静脉输注0.9%氯化钠注射液加正规胰岛素，根据产程中测得的血糖值调整静脉输液速度，提供热量，预防低血糖。 Intrapartum prevention产时预防 Vaginal delivery: 阴道分娩者： Continue the diabetes diet after birth , encourage the mother to sleep towards their left, improve the placental blood supply and closely monitor the fetal, lasting time is less than 12 hours, if it lasts more than 16 hours and then ketoacidosis are prone to take place . 临产后继续采用糖尿病饮食，鼓励产妇左侧卧位，改善胎盘血液供应，密切监护胎儿状况，产程时间不超过12h，如产程大于16h易发生酮症酸中毒。 Diabetes pregnant women in the delivery process still need to maintain physical and mental comfortable, we had better to give support to reduce delivery pressure. 糖尿病孕妇在分娩过程中，仍需维持身心舒适，给予支持以减缓分娩压力。 Cesarean section:剖宫产： A day before the surgery ,stop the protamine zinc insulin at dinner , stop subcutaneous injections of insulin at the surgery day. 术前一日晚餐前停用精蛋白锌胰岛素，手术日停止皮下注射胰岛素， Generally in the morning check blood glucose, urine glucose ,and urine ketone. 一般在早上检查血糖、尿糖及尿酮体。 According to its fasting blood sugar level and daily insulin dosage, change into small dose of insulin by continuous intravenous drip 根据其空腹血糖水平及每日胰岛素用量，改为小剂量胰岛素持续静脉滴注。 Intrapartum prevention产时预防 Intrapartum prevention产时预防 Generally glucose injection preparation proportion is 3-4 g glucose and 1 u insulin, and continuous intravenous drip at the speed of 2-3 u with per hour , measure blood sugar every 3-4 h , try to make blood glucose within the 6.67-10.0 mmol/L in the opreation 一般按3-4g葡萄糖加1U胰岛素比例配制葡萄糖注射液，并按每小时静脉输入2