護(hù)理干預(yù)對(duì)妊娠糖尿病患者血糖控制及妊娠結(jié)局的影響

馬芮

[摘要] 目的 探究并分析對(duì)妊娠期糖尿病患者采取護(hù)理干預(yù)對(duì)患者血糖控制以及妊娠結(jié)果所產(chǎn)生的影響。 方法 隨機(jī)選取2016年1月—2018年1月期間該院收治的96例妊娠期糖尿病患者作為該次研究對(duì)象，且對(duì)患者的臨床資料采取回顧與分析。運(yùn)用平均分配法將實(shí)施常規(guī)化護(hù)理的48例患者作為常規(guī)組，將實(shí)施整體護(hù)理干預(yù)的48例患者作為實(shí)驗(yàn)組，對(duì)比兩組患者控制血糖的情況以及最終妊娠結(jié)果。 結(jié)果 實(shí)驗(yàn)組患者的血糖一直被控制在正常范圍內(nèi)，其控制情況明顯優(yōu)于常規(guī)組患者（P<0.05）。實(shí)驗(yàn)組患者出現(xiàn)新生兒窒息、羊水過(guò)多、巨大兒、妊高癥以及刨宮產(chǎn)的情況均明顯低于常規(guī)組（P<0.05）。 結(jié)論 對(duì)妊娠期糖尿病患者采取護(hù)理干預(yù)，不僅能夠?qū)⒒颊叩难侵悼刂圃谡７秶鷥?nèi)，同時(shí)能夠有效降低患者發(fā)生不良妊娠結(jié)果的幾率，具有十分顯著的臨床效果，值得被普遍的應(yīng)用與推廣。

[關(guān)鍵詞] 妊娠期糖尿??；護(hù)理干預(yù)；血糖控制；妊娠結(jié)果

[中圖分類(lèi)號(hào)] R473.71 [文獻(xiàn)標(biāo)識(shí)碼] A [文章編號(hào)] 1672-4062（2018）07（a）-0170-02

Effect of Nursing Intervention on the Blood Glucose Control and Gestational Outcome of Patients with Gestational Diabetes

MA Rui

Department of Obstetrics， Second People's Hospital of Turpan， Turpan， Xinjiang， 838099 China

[Abstract] Objective To study and analyze the effect of nursing intervention on the blood glucose control and gestational outcome of patients with gestational diabetes. Methods 96 cases of patients with gestational diabetes admitted and treated in our hospital from January 2016 to January 2018 were selected， and the clinical data were reviewed， and the patients were divided into two groups with 48 cases in each， the routine group used the routine nursing， while the experimental group used the holistic nursing intervention， and the blood glucose control situation and final gestational outcome were compared between the two groups. Results The blood glucose in the experimental group was controlled in the normal range always， and the control situation was obviously better than that in the routine group（P<0.05）， and the incidence rates of neonatal asphyxia， hyperamniotic fluid， macrosomia， pregnancy induced hypertension， and gestation in the experimental group were obviously lower than those in the routine group（P<0.05）. Conclusion The nursing intervention in patients with gestational diabetes can not only control the blood glucose in the normal range， and it can also reduce the occurrence probability of adverse gestational outcomes of patients effectively， and it is of very obvious clinical effect， and it is worth promotion and application.

[Key words] Gestational outcome； Nursing intervention； Blood glucose control； Gestational outcome

該研究重點(diǎn)分析了對(duì)妊娠期糖尿病患者采取護(hù)理干預(yù)對(duì)患者血糖控制以及妊娠結(jié)果所產(chǎn)生的影響，臨床效果比較顯著，分析2016年1月—2018年1月期間該院收治的96例妊娠期糖尿病患者的臨床資料，現(xiàn)報(bào)道如下。

1 資料與方法

1.1 一般資料

該院收治的96例妊娠期糖尿病患者作為該次研究對(duì)象，且對(duì)患者的臨床資料采取回顧與分析。以上患者經(jīng)臨床診斷，孕周均>24周，空腹血糖不低于5.8 mmol/L，且葡萄糖耐量?jī)身?xiàng)超出指標(biāo)。排除合并其他嚴(yán)重疾病的患者以及需要胰島素治療的患者。將實(shí)施常規(guī)化護(hù)理的48例患者作為常規(guī)組，患者的年齡分布在23～37歲之間，孕周為24～37周，體重為57～56 kg，其中初產(chǎn)婦37例，經(jīng)產(chǎn)婦11例；將實(shí)施整體護(hù)理干預(yù)的48例患者作為實(shí)驗(yàn)組，患者的年齡分布在24～36歲之間，孕周為23～38周，體重為59～67 kg，其中初產(chǎn)婦39例，經(jīng)產(chǎn)婦9例。