妊娠期糖尿病护理干预对孕妇及围产儿结局的影响(1)
[摘要] 目的 分析妊娠期糖尿病护理干预对孕妇及围产儿结局的影响。方法 选择该院妊娠期糖尿病孕妇作为研究对象，病例选取为时间2018年1月—2019年1月，选取的病例数为80例。把80例患者按护理方式不同分成对照组40例、实验组40例，对照组患者实施基础的护理模式，实验组40例患者给予护理干预，对孕妇及围产儿结局的影响进行对比分析。 结果 实验组孕妇入院3 d和入院5 d的空腹血糖及早餐后2 h的血糖水平下降幅度明显快于对照组(P<0.05);实验组围产儿并发症发生率(7.50%)明显低于对照组(25.00%)，差异有统计学意义(P<0.05)。结论 妊娠期糖尿病护理干预对孕妇及围产儿结局有着良好的效果，能够控制血糖平稳，减少并发症的发生几率。
[关键词] 护理干预;妊娠期;糖尿病;孕妇;围产儿
[中图分类号] R47 [文獻标识码] A [文章编号] 1672-4062(2020)05(b)-0084-03
Impact of Gestational Diabetes Care Interventions on Pregnant and Perinatal Outcomes
TIAN Yu-qin
Juxian People's Hospital， Rizhao， Shandong Province， 276500 China
[Abstract] Objective To analyze the impact of gestational diabetes nursing intervention on the outcome of pregnant women and perinatal infants. Methods The pregnant women with gestational diabetes in the hospital were selected as the research objects. The cases were selected from January 2018 to January 2019. The number of cases selected was 80. The 80 patients were divided into control group 40 and experimental group 40 according to different nursing methods. The control group patients were given basic nursing mode. The experimental group 40 patients were given nursing intervention to compare and analyze the influence of pregnant women and perinatal outcome. Results The fasting blood glucose of the pregnant women in the experimental group for 3 d and 5 d after admission and the blood glucose level for 2 h after breakfast were significantly faster than those in the control group(P<0.05). The perinatal complications (7.50%) in the experimental group were significantly lower than the control group(25.00%)， and the comparison between the two groups difference was statistically significant(P<0.05). Conclusion Nursing intervention for gestational diabetes has a good effect on the outcome of pregnant women and perinatal infants， which can control blood glucose stability and reduce the incidence of complications.
[Key words] Nursing intervention; Pregnancy; Diabetes; Pregnant women; Perinatal
有关数据表明我国的妊娠期糖尿病的发病率越来越高，妊娠期糖尿病对孕妇及胎儿的危害都非常大[1]。妊娠期间患者糖代谢机制发生异常，升高的血糖会对胎儿造成窒息、羊水栓塞等严重的并发症，对孕妇及围生儿的身体健康及生活质量造成严重的影响，如何降低高血糖对孕妇及围生儿健康的威胁是目前围生医学当中非常重要的课题，针对妊娠期糖尿病患者要采取有效的护理措施，控制血糖处于稳定状态及预防并发症的发生。目的使患者提升妊娠质量，减少并发症几率，保障母婴的安全及健康。该次选取时间为2018年1月—2019年1月妊娠期糖尿病患者80例作为研究对象，分别为对照组患者实施基础的护理，实验组实行护理干预，进行对比分析，报道如下。
1 资料与方法
1.1 一般资料
收集80例妊娠期糖尿病孕妇的相关数据作为研究对象，按护理方式的不同将患者分为对照组40例和实验组40例，40例对照组患者给予基础的护理模式，对照组患者年龄为21～37岁，平均年龄为(27.9±3.1)岁;孕周35～40周，平均孕周为(38.5±2.1)周;经产妇18例，初产妇22例。实验组患者进行护理干预，实验组患者年龄为22～38岁，患者平均年龄为(29.9±4.2)岁;孕周35～41周，平均孕周为(39.1±2.2)周;初产妇、经产妇各20例。纳入标准：①所有患者经过检查均符合妊娠期糖尿病的诊断标准;②患者同意参与该次调研，并与院方签订同意书。排除标准：①严重心、肝、肾功能衰竭及甲状腺疾病患者;②高血压及家族糖尿病遗传史及先天性糖代谢异常;③习惯性流产及传染病患者。选定的两组资料比较差异无统计学意义(P>0.05)，两组患者符合进行组间对比分析的条件。, 百拇医药(田玉芹)
[关键词] 护理干预;妊娠期;糖尿病;孕妇;围产儿
[中图分类号] R47 [文獻标识码] A [文章编号] 1672-4062(2020)05(b)-0084-03
Impact of Gestational Diabetes Care Interventions on Pregnant and Perinatal Outcomes
TIAN Yu-qin
Juxian People's Hospital， Rizhao， Shandong Province， 276500 China
[Abstract] Objective To analyze the impact of gestational diabetes nursing intervention on the outcome of pregnant women and perinatal infants. Methods The pregnant women with gestational diabetes in the hospital were selected as the research objects. The cases were selected from January 2018 to January 2019. The number of cases selected was 80. The 80 patients were divided into control group 40 and experimental group 40 according to different nursing methods. The control group patients were given basic nursing mode. The experimental group 40 patients were given nursing intervention to compare and analyze the influence of pregnant women and perinatal outcome. Results The fasting blood glucose of the pregnant women in the experimental group for 3 d and 5 d after admission and the blood glucose level for 2 h after breakfast were significantly faster than those in the control group(P<0.05). The perinatal complications (7.50%) in the experimental group were significantly lower than the control group(25.00%)， and the comparison between the two groups difference was statistically significant(P<0.05). Conclusion Nursing intervention for gestational diabetes has a good effect on the outcome of pregnant women and perinatal infants， which can control blood glucose stability and reduce the incidence of complications.
[Key words] Nursing intervention; Pregnancy; Diabetes; Pregnant women; Perinatal
有关数据表明我国的妊娠期糖尿病的发病率越来越高，妊娠期糖尿病对孕妇及胎儿的危害都非常大[1]。妊娠期间患者糖代谢机制发生异常，升高的血糖会对胎儿造成窒息、羊水栓塞等严重的并发症，对孕妇及围生儿的身体健康及生活质量造成严重的影响，如何降低高血糖对孕妇及围生儿健康的威胁是目前围生医学当中非常重要的课题，针对妊娠期糖尿病患者要采取有效的护理措施，控制血糖处于稳定状态及预防并发症的发生。目的使患者提升妊娠质量，减少并发症几率，保障母婴的安全及健康。该次选取时间为2018年1月—2019年1月妊娠期糖尿病患者80例作为研究对象，分别为对照组患者实施基础的护理，实验组实行护理干预，进行对比分析，报道如下。
1 资料与方法
1.1 一般资料
收集80例妊娠期糖尿病孕妇的相关数据作为研究对象，按护理方式的不同将患者分为对照组40例和实验组40例，40例对照组患者给予基础的护理模式，对照组患者年龄为21～37岁，平均年龄为(27.9±3.1)岁;孕周35～40周，平均孕周为(38.5±2.1)周;经产妇18例，初产妇22例。实验组患者进行护理干预，实验组患者年龄为22～38岁，患者平均年龄为(29.9±4.2)岁;孕周35～41周，平均孕周为(39.1±2.2)周;初产妇、经产妇各20例。纳入标准：①所有患者经过检查均符合妊娠期糖尿病的诊断标准;②患者同意参与该次调研，并与院方签订同意书。排除标准：①严重心、肝、肾功能衰竭及甲状腺疾病患者;②高血压及家族糖尿病遗传史及先天性糖代谢异常;③习惯性流产及传染病患者。选定的两组资料比较差异无统计学意义(P>0.05)，两组患者符合进行组间对比分析的条件。, 百拇医药(田玉芹)