综合护理对妊娠期糖尿病患者血糖及新生儿的影响研究(1)
[摘要] 目的 探讨综合护理干预对妊娠糖尿病患者血糖与新生儿的影响。方法 将该科2017年12月—2019年6月收治的164例妊娠糖尿病患者随机分为干预组与参照组，各82例，干预组给予综合护理，参照组给予常规护理，比较两组护理前后空腹血糖与餐后2 h血糖水平与新生儿结局。结果 护理后，两组空腹血糖与餐后2 h血糖水平均较护理前显著降低(P<0.05)，且干预组均显著低于参照组(P<0.05);干预组共6例新生儿发生低血糖等不良结局，参照组共17例发生不良结局，干预组新生儿不良情况发生率(7.32%)显著低于参照组(20.73%)，差异有统计学意义(P<0.05)。结论 综合护理干预可有效调节妊娠期糖尿病患者血糖水平，改善新生儿结局。
[关键词] 综合护理;妊娠期糖尿病;血糖含量;新生儿结局
[中图分类号] R47 [文献标识码] A [文章编号] 1672-4062(2020)09(b)-0104-03
Study on the Effect of Comprehensive Nursing Care on Blood Glucose of Gestational Diabetes Patients and Newborns
HE Xiao-cheng
Department of Obstetrics， the Second Affiliated Hospital of Fujian Medical University， Quanzhou， Fujian Province， 362000 China
[Abstract] Objective To explore the effect of comprehensive nursing intervention on blood glucose and newborns of gestational diabetes patients. Methods 164 cases of gestational diabetes patients admitted to the department from December 2017 to June 2019 were randomly divided into intervention group and reference group， 82 cases in each group. The intervention group was given comprehensive nursing care， and the reference group was given conventional nursing care. The two groups were compared. Before and after fasting blood glucose and 2 h postprandial blood glucose level and neonatal outcome. Results After nursing， the fasting blood glucose and 2 h postprandial blood glucose levels of the two groups were significantly lower than before nursing (P<0.05)， and the intervention group was significantly lower than the reference group (P<0.05); there were 6 new students in the intervention group， adverse outcomes such as hypoglycemia occurred in infants. A total of 17 cases in the reference group had adverse outcomes. The incidence of neonatal adverse events in the intervention group (7.32%) was significantly lower than that in the reference group (20.73%)，the difference was statistically significant(P<0.05). Conclusion Comprehensive nursing intervention can effectively regulate the blood glucose level of patients with gestational diabetes and improve the outcome of neonates.
[Key words] Comprehensive nursing; Gestational diabetes; Blood glucose level; Neonatal outcome
妊娠期糖尿病是妊娠期間首次发生或(和)发现的糖尿病，是一种极为常见的妊娠期合并症[1]。该病可造成胎儿窘迫、巨大儿等不良妊娠结局，对母婴影响较严重，临床多表现为羊水过多及尿路感染等，若患者血糖持续上升或不得控制，会增大难产与剖宫产概率[2]。近年来，我国妊娠期糖尿病的发病率逐年增长，产前孕妇过胖、孕期体重激增在众多诱发因素中位居前列。有研究发现，妊娠期患者体重过度增长会增高巨大儿的分娩率，还易造成产后出血，而诸多临床实践发现，通过护理控制孕妇体重与血糖水平可有效减少不良妊娠结局的发生，但由于身体激素水平异常，大多孕妇在孕期易产生焦虑、抑郁等不良情绪，对患者身心健康与病情发展均产生不利影响[3]。该次研究将综合护理运用到2017年12月—2019年6月收治的82例妊娠期糖尿病患者的护理中，以观其干预效果。现报道如下。, http://www.100md.com(何小程)
[关键词] 综合护理;妊娠期糖尿病;血糖含量;新生儿结局
[中图分类号] R47 [文献标识码] A [文章编号] 1672-4062(2020)09(b)-0104-03
Study on the Effect of Comprehensive Nursing Care on Blood Glucose of Gestational Diabetes Patients and Newborns
HE Xiao-cheng
Department of Obstetrics， the Second Affiliated Hospital of Fujian Medical University， Quanzhou， Fujian Province， 362000 China
[Abstract] Objective To explore the effect of comprehensive nursing intervention on blood glucose and newborns of gestational diabetes patients. Methods 164 cases of gestational diabetes patients admitted to the department from December 2017 to June 2019 were randomly divided into intervention group and reference group， 82 cases in each group. The intervention group was given comprehensive nursing care， and the reference group was given conventional nursing care. The two groups were compared. Before and after fasting blood glucose and 2 h postprandial blood glucose level and neonatal outcome. Results After nursing， the fasting blood glucose and 2 h postprandial blood glucose levels of the two groups were significantly lower than before nursing (P<0.05)， and the intervention group was significantly lower than the reference group (P<0.05); there were 6 new students in the intervention group， adverse outcomes such as hypoglycemia occurred in infants. A total of 17 cases in the reference group had adverse outcomes. The incidence of neonatal adverse events in the intervention group (7.32%) was significantly lower than that in the reference group (20.73%)，the difference was statistically significant(P<0.05). Conclusion Comprehensive nursing intervention can effectively regulate the blood glucose level of patients with gestational diabetes and improve the outcome of neonates.
[Key words] Comprehensive nursing; Gestational diabetes; Blood glucose level; Neonatal outcome
妊娠期糖尿病是妊娠期間首次发生或(和)发现的糖尿病，是一种极为常见的妊娠期合并症[1]。该病可造成胎儿窘迫、巨大儿等不良妊娠结局，对母婴影响较严重，临床多表现为羊水过多及尿路感染等，若患者血糖持续上升或不得控制，会增大难产与剖宫产概率[2]。近年来，我国妊娠期糖尿病的发病率逐年增长，产前孕妇过胖、孕期体重激增在众多诱发因素中位居前列。有研究发现，妊娠期患者体重过度增长会增高巨大儿的分娩率，还易造成产后出血，而诸多临床实践发现，通过护理控制孕妇体重与血糖水平可有效减少不良妊娠结局的发生，但由于身体激素水平异常，大多孕妇在孕期易产生焦虑、抑郁等不良情绪，对患者身心健康与病情发展均产生不利影响[3]。该次研究将综合护理运用到2017年12月—2019年6月收治的82例妊娠期糖尿病患者的护理中，以观其干预效果。现报道如下。, http://www.100md.com(何小程)