早期护理干预对妊娠期糖尿病患者血糖控制和妊娠结局的影响评价(1)
[摘要] 目的 探讨妊娠期糖尿病患者的早期护理干预方法以及护理效果，结合患者的血糖控制情况和妊娠结局进行评价。方法 选取该院2018年4月—2019年5月期间收治的92例妊娠期糖尿病患者作为研究对象，46例接受早期护理干预，为观察组;46例接受常规护理，为对照组，对比两组患者的血糖控制效果、妊娠结局。结果 与护理前相比，观察组患者和对照组患者在护理后空腹血糖(FBG)和餐后2 h血糖(PBG)显著降低(P<0.05)。与对照组相比，观察组患者在护理后的空腹血糖(FBG)水平(5.71±1.02)mmol/L、餐后2 h血糖(PBG)水平(7.53±1.58)mmol/L以及产后并发症发生率4.35%、新生儿并发症发生率4.35%相对更低(P<0.05)，而患者的自然分娩率78.26%相对更高(P<0.05)。结论 妊娠期糖尿病患者接受早期护理干预，能够有效控制血糖的稳定，减少高血糖对于妊娠、分娩的负面影响，对于改善妊娠结局有着积极的促进作用。
[关键词] 早期护理干预;妊娠期糖尿病;血糖控制;妊娠結局
[中图分类号] R59 [文献标识码] A [文章编号] 1672-4062(2020)10(a)-0025-03
[Abstract] Objective To explore the early nursing intervention methods and nursing effects for patients with gestational diabetes mellitus， and evaluate the patients' blood glucose control status and pregnancy outcome. Methods 92 cases of gestational diabetes patients admitted to the hospital from April 2018 to May 2019 were selected as the research objects， 46 cases received early care intervention， as the observation group; 46 cases received routine care， as the control group， compared with the blood glucose control effect and pregnancy outcome of the patients in the group. Results Compared with before nursing， the fasting blood glucose (FBG) and the 2 h blood glucose (PBG) of the observation group and the control group were significantly reduced after nursing (P<0.05). Compared with the control group， the observation group's fasting blood glucose (FBG) level after nursing (5.71±1.02)mmol/L， 2 h blood glucose (PBG) level (7.53±1.58)mmol/L and the incidence of postpartum complications 4.35%， the incidence of neonatal complications 4.35% was relatively lower (P<0.05)， while the patient’s natural delivery rate 78.26% was relatively higher (P<0.05). Conclusion Early nursing intervention for patients with gestational diabetes can effectively control the stability of blood glucose， reduce the negative effects of hyperglycemia on pregnancy and childbirth， and play a positive role in improving pregnancy outcome.
[Key words] Early nursing intervention; Gestational diabetes; Blood glucose control; Pregnancy outcome
妊娠期糖尿病的发生，会增加孕产妇妊娠、分娩的风险，损害母婴健康。受到妊娠期糖尿病的影响，容易诱发妊高症、感染性病变，增加早产、巨大儿、酮症酸中毒的发生风险[1]。为了减轻妊娠期糖尿病对于产妇、胎儿健康的危害，需要加强血糖控制，降低相关并发症发生风险，进而保障妊娠、分娩的安全性。在妊娠期糖尿病患者的临床护理中，应该以控制血糖稳定和预防不良妊娠结局为目标，早期开展护理服务[2]。该研究通过选取该院于2018年4月—2019年5月期间收治的92例妊娠期糖尿病患者为研究对象，探讨早期护理干预的实施效果，现报道如下。
1 资料与方法
1.1 一般资料
该组研究对象为该院收治的92例妊娠期糖尿病患者，行分组对照研究(观察组和对照组各46例)。该研究经由医院伦理委员会批准，并得到产妇及其家属的知情同意，并签署知情同意书。观察组中，初产妇和经产妇比例为30/16，年龄范围为22～37岁，平均年龄(27.52±2.36)岁。对照组中，初产妇和经产妇比例为28/18，年龄范围为21～39岁，平均年龄(27.84±2.49)岁。两组患者一般资料对比差异无统计学意义(P>0.05)，具有可比性。, 百拇医药(李云莺)
[关键词] 早期护理干预;妊娠期糖尿病;血糖控制;妊娠結局
[中图分类号] R59 [文献标识码] A [文章编号] 1672-4062(2020)10(a)-0025-03
[Abstract] Objective To explore the early nursing intervention methods and nursing effects for patients with gestational diabetes mellitus， and evaluate the patients' blood glucose control status and pregnancy outcome. Methods 92 cases of gestational diabetes patients admitted to the hospital from April 2018 to May 2019 were selected as the research objects， 46 cases received early care intervention， as the observation group; 46 cases received routine care， as the control group， compared with the blood glucose control effect and pregnancy outcome of the patients in the group. Results Compared with before nursing， the fasting blood glucose (FBG) and the 2 h blood glucose (PBG) of the observation group and the control group were significantly reduced after nursing (P<0.05). Compared with the control group， the observation group's fasting blood glucose (FBG) level after nursing (5.71±1.02)mmol/L， 2 h blood glucose (PBG) level (7.53±1.58)mmol/L and the incidence of postpartum complications 4.35%， the incidence of neonatal complications 4.35% was relatively lower (P<0.05)， while the patient’s natural delivery rate 78.26% was relatively higher (P<0.05). Conclusion Early nursing intervention for patients with gestational diabetes can effectively control the stability of blood glucose， reduce the negative effects of hyperglycemia on pregnancy and childbirth， and play a positive role in improving pregnancy outcome.
[Key words] Early nursing intervention; Gestational diabetes; Blood glucose control; Pregnancy outcome
妊娠期糖尿病的发生，会增加孕产妇妊娠、分娩的风险，损害母婴健康。受到妊娠期糖尿病的影响，容易诱发妊高症、感染性病变，增加早产、巨大儿、酮症酸中毒的发生风险[1]。为了减轻妊娠期糖尿病对于产妇、胎儿健康的危害，需要加强血糖控制，降低相关并发症发生风险，进而保障妊娠、分娩的安全性。在妊娠期糖尿病患者的临床护理中，应该以控制血糖稳定和预防不良妊娠结局为目标，早期开展护理服务[2]。该研究通过选取该院于2018年4月—2019年5月期间收治的92例妊娠期糖尿病患者为研究对象，探讨早期护理干预的实施效果，现报道如下。
1 资料与方法
1.1 一般资料
该组研究对象为该院收治的92例妊娠期糖尿病患者，行分组对照研究(观察组和对照组各46例)。该研究经由医院伦理委员会批准，并得到产妇及其家属的知情同意，并签署知情同意书。观察组中，初产妇和经产妇比例为30/16，年龄范围为22～37岁，平均年龄(27.52±2.36)岁。对照组中，初产妇和经产妇比例为28/18，年龄范围为21～39岁，平均年龄(27.84±2.49)岁。两组患者一般资料对比差异无统计学意义(P>0.05)，具有可比性。, 百拇医药(李云莺)