摘要
目的:观察早期护理干预改善妊娠期糖尿病患者妊娠结局的效果。方法:选取九江市妇幼保健院产科2018年1-6月收治的妊娠期糖尿病孕妇60例作为研究对象,采用随机综合序贯法将其分为观察组和对照组,各30例。对照组采用常规护理,观察组在上述基础上实施早期护理干预,主要包括饮食治疗和运动疗法,比较两组干预前后血糖水平、围生期孕妇并发症发生和自然分娩以及围生期胎儿不良结局的发生情况。结果:干预前两组餐后2 h及空腹血糖水平比较,差异均无统计学意义(P>0.05);干预后,两组餐后2 h及空腹血糖水平与干预前比较均明显降低,且观察组均明显低于对照组,差异均有统计学意义(P<0.05)。观察组孕妇羊水过多、胎膜早破、产后出血、妊娠高血压疾病的发生率分别为3.33%、6.67%、3.33%、10.00%均明显低于对照组的26.67%、40.00%、26.67%、40.00%,自然分娩率为70.00%明显高于对照组的43.33%,差异均有统计学意义(P<0.05);但两组孕妇感染率比较,差异无统计学意义(P>0.05)。观察组围生期胎儿低血糖、新生儿窒息、巨大儿、高胆红素血症的发生率分别为13.33%、3.33%、13.33%、10.00%均明显低于对照组的36.67%、30.00%、40.00%、36.67%,差异均有统计学意义(P<0.05)。结论:对妊娠期糖尿病患者实施早期护理干预可有效控制患者血糖水平,降低孕妇和围生儿并发症发生率,改善妊娠结局。
Objective：To observe the effect of early nursing intervention on pregnancy outcome of patientswith gestational diabetes mellitus.Method：A total of 60 pregnant women with gestational diabetes mellitusadmitted in obstetrics department of Jiujiang Maternal and Child Health Care Hospital from January to June 2018were selected as the research objects.They were divided into observation group and control group by randomcomprehensive sequential method,30 cases in each group. The control group was given routine nursing,theobservation group was given early nursing intervention on the basis of the above,mainly including diet therapy andexercise therapy.The blood glucose levels before and after intervention,perinatal pregnant women complications,natural delivery and perinatal fetal adverse outcomes between the two groups were compared.Result：There were no
significant differences in the two-hours postprandial blood glucose and fasting blood glucose levels between the twogroups before intervention（ P〉0.05）.After intervention,the levels of the two-hours postprandial blood glucose andfasting blood glucose of the two groups were significantly lower than those before intervention,and the observation
group were significantly lower than those in the control group,the differences were statistically significant（ P〈0.05）.The incidence of polyhydramnios,premature rupture of membranes,postpartum hemorrhage and pregnancyinduced hypertension in the observation group were 3.33%,6.67%,3.33% and 10.00% respectively, whichwere significantly lower than 26.67%,40.00%,26.67%,40.00% in the control group,the natural delivery ratewas 70.00%,which was significantly higher than 43.33% in the control group,the differences were statisticallysignificant（ P〈0.05）.There was no significant difference in the infection rate between the two groups（ P〉0.05）.The incidence of perinatal fetal hypoglycemia,neonatal asphyxia,macrosomia and hyperbilirubinemia in theobservation group were 13.33%,3.33%,13.33% and 10.00% respectively,whic
作者
温瑶
WEN Yao(Jiujiang Maternal and Child Health Care Hospital,Jiujiang 332000,China)
出处
《中国医学创新》
CAS
2018年第33期84-87,共4页
Medical Innovation of China
基金
九江市科技计划项目(201402009)
关键词
饮食治疗
运动疗法
妊娠期糖尿病
血糖
妊娠结局
Diet therapy
Exercise therapy
Gestational diabetes mellitus
Blood glucose
Pregnancy outcome
