妊娠糖尿病合并妊高症患者综合护理的方案分析.docVIP

妊娠糖尿病合并妊高症患者综合护理的方案分析 　　[摘要] 目的 探讨妊娠糖尿病合并妊高症患者综合护理干预效果，并将具体护理措施进行汇总。方法 选取该院产科2015年5月―2016年4月收治的妊娠糖尿病合并妊高症患者63例，随机分为两组。观察组35例在常规护理基础上给予综合护理干预，对照组28例给予常规护理，观察两组孕妇及围产儿结局。结果 观察组孕妇并发症发生率为5.71%，对照组孕妇并发症发生率为21.43%，差异有统计学意义（P0.05）；观察组围产儿巨大儿、宫内窘迫的发生率以及Apgar评分结果均优于对照组，差异有统计学意义（P0.05）。 结论 妊娠糖尿病合并妊高征实施综合护理干预可显著改善孕妇妊娠结局，提升围产儿质量，值得临床推广应用。 　　[关键词] 妊高征；糖尿病；综合护理干预 　　[中图分类号] R473.71 [文献标识码] A [文章编号] 1672-4062（2016）12（b）-0001-02 　　[Abstract] Objective To investigate the effect of comprehensive nursing intervention in patients with gestational diabetes mellitus complicated with pregnancy induced hypertension （PIH）， and to summarize the specific nursing measures. Methods Sixty - three patients with gestational diabetes mellitus and pregnancy - induced hypertension were selected from May 2015 to April 2016， and were divided into two groups randomly. 35 cases in the observation group were given comprehensive nursing intervention on the basis of routine nursing， and 28 cases in the control group were given routine nursing. The pregnant women and perinatal outcome were observed. Results The incidence of complication was 5.71% in the observation group and 21.43% in the control group，the difference was statistically significant（P0.05）. The incidence of perinatal macrosomia and intrauterine distress in the observation group and Apgar，the difference was statistically significant （P0.05）. Conclusion Comprehensive nursing intervention of gestational diabetes mellitus combined with pregnancy induced hypertension can improve the pregnant outcome and improve the quality of perinatal. It is worthy to be popularized. 　　[Key words] Pregnancy-induced hypertension； Diabetes； Comprehensive nursing intervention 　　妊娠糖尿病是指妊娠期?D女出现的不同程度的糖耐量异常和血糖升高，其发生率较高，约有4%左右的女性在妊娠过程中出现空腹血糖明显升高的状况，是一种妊娠期常见疾病[1-4]。该文对该院产科2015年5月―2016年4月收治的妊娠糖尿病合并妊高征63例患者临床资料进行整理汇总研究，现报道如下。 　　1 资料与方法 　　1.1 一般资料 　　选取该院产科2015年5月―2016年4月收治的妊娠糖尿病合并妊高症患者63例，根据患者既往病史以及实验室检查数据，符合妊娠期高血压疾病诊治指南（2015）[5]妊娠糖尿病合并妊高症诊断标准。所有患者均已了解该研究的目的和意义，自愿接受治疗并