探讨护理干预对妊娠期糖尿病患者妊娠结局的影响.docVIP

探讨护理干预对妊娠期糖尿病患者妊娠结局的影响 龙江县第一人民医院16M00 目的研究分析护理干预对妊娠期糖尿病患者妊娠结局的影响。方法 此次 研究的对象是选取2013年7月?2014年10月我院收治的妊娠期糖尿病患者150 例，将其临床资料进行回顾性分析，并随机分为观察组和对照组各75例，观察 组基于血糖控制护理、饮食指导、运动指导、心理护理、健康教育，对照组行常 规妊娠期糖尿病护理。结果两组确诊时空腹血糖、餐后2 h血糖、糖化血红蛋 白差异无统计学意义，分娩前血糖指标均下降，但观察组空腹血糖、餐后2h血 糖、糖化血红蛋白均明显低于对照组(Plt;0.05)o观察组糖尿病高渗性昏迷、 糖尿病酮症酸中毒、乳酸性酸中毒、低血糖、妊娠期高血压发牛率和并发症发牛 率均低于对照组，其中两组并发症发生率差异有统计学意义(Plt;0.05)o观察 组胎盘早剥、泌尿系感染、产后出血、羊水过多、剖宫产发生率均低于对照组, 其中两组胎盘早剥、泌尿系感染、羊水过多、剖宫产发生率差异有统计学意义 (Pt;0.05)o观察组围产儿早产、宫内发育迟缓、胎儿窘迫、新生儿窒息、巨 大儿发生率均低于对照组，其中两组宫内发育迟缓、胎儿窘迫、新生儿窒息发生 率差异有统计学意义(Plt;0.05)o结论护理干预可明显改善妊娠期糖尿病患者 妊娠结局，减少孕产妇并发症、孕产妇和围产儿不良事件发生率。 关键词妊娠期糖尿病；妊娠结局；护理；围产儿；并发症 [Abstract] Objective To study the effect of nursing intervention on pregnancy outcome in patients with gestational diabetes mellitus. Method the study object is selected in July 2013 ~ 2014 October in our hospital from gestational diabetes patients in 150 cases, their clinical data were retrospective analysis and were randomly divided into observation group and control group (75 cases) and observation group based on blood glucose control nursing, diet guidanee, guidanee, psychological care, health educatioru control group received conventional gestational diabetes care. Results two groups confirmed the fasting blood glucose, postprandial 2 h blood glucose, glycosylated hemoglobin differenee without statistical significanee, before the birth of glycemic index decreased was observed, but the group of fasting blood glucose, postprandial 2 h blood glucose, glycosylated hemoglobin were significantly lower than those in control group (P lt; 0.05) ? Observation group with diabetic hyperosmolar coma, diabetic ketoacidosis, lactic acid acidosis, hypoglycemia, pregnancy hypertension rate and incidenee of complications were lower than those in the control group, which complications of the two groups occurred rate differenee was statistically significant(P lt; 0.05). Observation group, the placenta abruption, urinary tract infection, postpartum hemorrhage, amniotic fluid, sp