摘要
目的:探讨针对性护理干预对二胎孕妇妊娠期糖尿病患者血糖控制及妊娠结局的影响。方法:选取2015年1月-2017年1月笔者所在医院收治的100例二胎孕妇妊娠期糖尿病患者,随机分为试验组与对照组,每组50例,对照组患者给予常规护理,试验组患者给予针对性护理,比较两组患者血糖水平与妊娠结局。结果:干预后,试验组患者空腹血糖、早餐后2 h血糖、午餐后2 h血糖、晚餐后2 h血糖、睡前血糖水平均显著低于对照组,比较差异均有统计学意义(P<0.01);试验组的高血压、胎盘前置、早产、剖宫产、羊水过多、胎儿窘迫、胎膜早破、出血与泌尿感染等恶性妊娠结局发生率均明显低于对照组,比较差异均有统计学意义(P<0.05)。结论:针对性护理干预对二胎孕妇妊娠期糖尿病患者血糖控制方面具有良好的辅助效果,可直接改善妊娠结局,具有借鉴意义。
Objective：To investigate the effect of targeted nursing intervention on blood glucose control and pregnancy outcomes in secondchild pregnant women with（gestational diabetes mellitus,GDM）.Method：From January 2015 to January 2017,100 second-child pregnant women with gestational diabetes admitted to the author＇s hospital were randomly divided into experimental group and control group,50 patients in each group.Patients in the control group were given routine nursing care,and patients in the experimental group were treated with targeted care.Blood glucose levels and pregnancy outcomes were compared between the two groups.Result：After intervention,the levels of fasting blood glucose,2 h blood glucose after breakfast,2 h blood glucose after lunch,2 h blood glucose after dinner and blood the levels of before bedtime in the experimental group were significantly lower than those in the control group,and the differences were statistically significant（P0.01）.The incidences of malignant pregnancy outcomes such as hypertension,placenta previa,premature delivery,cesarean section,amniotic fluid,fetal distress,premature rupture of fetal membrane,bleeding and urinary infection were significantly lower than those in the control group,and the difference was statistically significant（P0.05）.Conclusion：Targeted nursing intervention has a good effect on blood glucose control in second-child pregnant women with gestational diabetes,and can directly improve the outcome of pregnancy.It has implications for reference.
作者
张云娇
李翠蓉
ZHANG Yunjiao;LI Cuirong(Ningde Hospital Affiliated to Fujian Medical University,Ningde 352100,China)
出处
《中外医学研究》
2018年第15期65-67,共3页
CHINESE AND FOREIGN MEDICAL RESEARCH
