妊娠期糖尿病孕妇血糖控制情况对妊娠结局和新生儿并发症临床分析.docVIP

妊娠期糖尿病孕妇血糖控制情况对妊娠结局和新生儿并发症临床分析 　　[摘要] 目的 探讨妊娠期糖尿病孕妇血糖控制情况对妊娠结局和新生儿并发症的临床疗效。方法 采用医学研究对照法，方便遴选该院2012年12月―2017年2月收治的72例妊娠期糖尿病孕妇，依据护理干预模式的不同，平均分为对照组和观察组。给予对照组单独普通护理干预措施，给予观察组孕妇妊娠期血糖控制干预措施，临床观察两组患者的血糖控制达标率和妊娠结局。结果 观察组的顺产率82.86%（29/36）明显多于对照组60.00%（21/36），而新生儿情况中，胎儿宫内窘迫的发生率5.71%（2/36）明显低于对照组31.43%（11/36），两组数据对比差异有统计学意义（P0.05）。结论 采用妊娠期糖尿病孕妇血糖控制干预措施，对提升整个医院的护理质量，实现对妊娠期糖尿病孕妇的血糖有效控制，降低了剖宫产率，避免婴儿并发症具有重要临床价值。 　　[关键词] 妊娠期糖尿病；孕妇；孕妇血糖控制；妊娠结局；新生儿并发症 　　[中图分类号] R4 [文献标识码] A [文章编号] 1674-0742（2018）02（a）-0077-03 　　Analysis Clinical Observation on Pregnancy Outcome and Neonatal Complications in Pregnant Women with Gestational Diabetes 　　GAI Ning-ning， ZHAO Peng-fei 　　Department of Endocrinology， Laiyang Central Hospital of Yantai， Laiyang， Shandong Province， 265200 China 　　[Abstract] Objective This paper tries to investigate the clinical effect of blood glucose control in pregnant women with gestational diabetes mellitus on pregnancy outcome and neonatal complications. Methods Using medical research control method， 72 pregnant women with gestational diabetes mellitus who were treated in this hospital from December 2012 to February 2017 were convenient selected. The pregnant women with gestational diabetes mellitus were equally divided into control group and observation group according to different nursing intervention patterns. The control group was given ordinary nursing interventions， giving observation group gestational glycemic control interventions， the clinical observation of two groups of patients with glycemic control compliance and pregnancy outcomes. Results In the observation group， the birth rate was 82.86% （29/36）， which was significantly higher than that in the control group （60.00%， 21/36）. In neonates， the incidence of fetal distress was 5.71% （2/36）， significantly lower than the control group of 31.43% （11/36） respectively. The difference between the two groups was statistically significant（P0.05）. Conclusion The intervention of blood glucose control in pregnant