循证护理对妊娠期糖尿病分娩结局影响.docVIP

循证护理对妊娠期糖尿病分娩结局影响 　　【摘要】 目的 探讨循证护理对妊娠期糖尿病分娩结局的影响。方法 60例妊娠期糖尿病产妇随机分为观察组30例（采用循证护理）和对照组30例（采用常规护理）， 对比两组的护理效果。结果 观察组孕妇并发症（妊娠高血压疾病、羊水过多）、围生儿并发症（新生儿窒息、巨大儿）发生率以及剖宫产率均显著低于对照组， 两组相比差异均具有统计学意义（P0.05）。结论 通过对妊娠糖期尿病孕妇实施系统化、科学化、循序渐进化的循证护理干预， 有助于控制孕妇血糖水平， 降低妊娠期并发症及新生儿并发症发生率， 这对改善妊娠期糖尿病（GDM）母婴结局和孕妇预后有着积极的意义， 值得临床推广和使用。 　　【关键词】 循证护理；妊娠期糖尿病；分娩结局；影响 　　DOI：10.14163/j.cnki.11-5547/r.2015.18.133 　　Influence of evidence-based nursing on delivery outcome in gestational diabetes mellitus QIU Yi-juan， LI Huan-zhen， WANG Li， et al. Department of Obstetrics， Guangdong Zhongshan City People’s Hospital， Zhongshan 528403， China 　　【Abstract】 Objective To investigate the influence of evidence-based nursing on delivery outcome in gestational diabetes mellitus. Methods A total of 60 puerpera with gestational diabetes mellitus were randomly divided into observation group with 30 cases （receiving evidence-based nursing） and control group with 30 cases （receiving conventional nursing）. Nursing effects of the two groups were compared. Results The observation group had obviously lower incidences of maternal complications （hypertensive disorders in pregnancy， polyhydramnios）， perinatal complications （neonatal asphyxia， macrosomia）， and cesarean section than the control group. The differences between the two groups all had statistical significance （P0.05）. Conclusion Implement of systematic， scientific， and gradual evidence-based nursing for puerpera with gestational diabetes mellitus can control blood glucose level， and reduce incidences of maternal complications and perinatal complications. This method contains positive significance for improving gestational diabetes mellitus （GDM） mother-infant outcome and prognosis， and it is worthy of clinical promotion and application. 　　【Key words】 Evidence-based nursing； Gestational diabetes mellitus； Delivery outcome； Influence 　　脑干脑炎（brainstem encephalitis， BSE）又称脑干炎或脑干型脑炎， 是指发生于脑干的炎症， 也可累及脑干临近组织， 因此， 脑干脑炎是一组急性起病的以眼肌麻痹、意识障碍、共济失调、腱反射亢进或病理征阳性为特征的综合征， 临床表现复