[摘要] 目的 探讨系统性护理干预及监测对妊娠期糖尿病(GDM)患者不良妊娠结局的预防作用。 方法 选取154例我院妇产科分娩并确诊的GDM患者，根据孕期有无进行系统性的护理干预及监测分为干预组83例和对照组71例，对照组孕产妇因个人因素未进行系统性的医疗护理干预及监测，干预组予执行严格系统性的糖尿病饮食调节方案以及治疗和护理干预。观察两组干预后血糖达标的变化，并比较其不良妊娠结局。 结果 干预后，干预组孕妇FBG和HbA1C的达标率明显高于对照组(P<0.05)；干预组孕妇干预后子痫前期、蛋白尿、早产、胎膜早破、产褥感染、新生儿窒息、巨大儿和新生儿肺炎发生率明显低于对照组(P<0.05)。 结论 系统性护理干预及监测能提高GDM患者的降糖效果，降低孕妇和新生儿的不良结局，对GDM的不良妊娠结局具有良好的预防作用。

    [关键词] 糖尿病；妊娠期；系统性护理干预及监测；不良妊娠结局

    [中图分类号] R473.71 [文献标识码] B [文章编号] 1673-9701(2017)06-0147-03

    [Abstract] Objective To investigate the preventive effect of systemic nursing intervention and monitoring on adverse pregnancy outcome in gestational diabetes mellitus(GDM) patients. Methods 154 GDM patients who were diagnosed and delivered in the Department of Obstetrics in our hospital were selected.According to whether there was no systematic care intervention and monitoring in pregnancy ......