糖尿病合并妊娠致胎兒窘迫的護理干預效果研究

王桂英

【摘要】目的 探討糖尿病合并妊娠致胎兒窘迫的護理干預措施和療效。方法 以我院收治的74例糖尿病合并妊娠孕婦為研究對象，將患者隨機分為對照組和觀察組，對照組給予常規(guī)護理，觀察組給予全面護理干預，比較兩組護理效果。結果 治療和護理結束后，對照組和觀察組空腹血糖水平分別為（8.67±2.04）mmol/L、（5.24±1.42）mmol/L，胎動異常例數(shù)分別為15例和6例，胎動異常率分別為40.5%和16.2%，組間差異均具有統(tǒng)計學意義（P<0.05）。結論 對糖尿病合并妊娠致胎兒窘迫患者給予全面護理干預可有效改善患者血糖水平，緩解胎兒窘迫癥狀，可在臨床中推廣應用。

【關鍵詞】糖尿病；妊娠；胎兒窘迫；全面護理干預

Diabetic pregnancy fetal distress caused by the effect of nursing intervention study

Wang Guiying Chengdu Fifth People's Hospital Chengdu Sichuan 611130

【 abstract 】 objective to explore the diabetic pregnancy to the nursing intervention measures and curative effect of fetal distress. Methods in our hospital 74 cases of diabetic pregnancy pregnant women as the research object， the patients were randomly divided into control group and observation group， control group given routine nursing care， observation group was given the comprehensive nursing intervention， compared two groups of nursing effect. Results after the treatment and nursing， the control group and observation group of fasting blood glucose levels （8.67 + / - 2.04） tendency/L respectively， （5.24-1.42） tendency for L， quickened abnormal cases of 15 cases and 6 cases respectively， quickening the abnormal rate were 40.5% and 16.2% respectively， differences between groups were statistically significant （P < 0.05）. Conclusion in patients with diabetic pregnancy fetal distress caused by comprehensive nursing intervention can effectively improve the patients' blood sugar levels， alleviate symptoms of fetal distress， can be applied in the clinical.

【 key words 】 diabetes； Pregnancy； Fetal distress； Comprehensive nursing intervention

糖尿病患者妊娠與健康人妊娠相比具有更大風險，母嬰結局會受到嚴重影響。糖尿病患者妊娠容易導致胎兒巨大、新生兒呼吸窘迫以及胎兒窘迫等[1]。胎兒窘迫發(fā)生后會導致胎兒在宮內(nèi)發(fā)生酸中毒和缺氧，導致胎兒窒息和死亡[2]。糖尿病合并妊娠致胎兒窘迫進行有效治療的同時也需給予患者合適的護理干預措施，提高總體治療效果。本次研究旨在探討糖尿病合并妊娠致胎兒窘迫給予全面護理干預的效果，現(xiàn)報告如下。

1 資料與方法

1.1一般資料

2014年6月到2015年6月有74例糖尿病合并妊娠致胎兒窘迫孕婦在我院治療。患者經(jīng)臨床診斷均符合糖尿病診斷標準，將患者隨機分為對照組和觀察組，對照組37例，年齡22～37歲，平均年齡（27.5±3.5）歲，孕周32～41周，平均孕周（37.4±2.1）周，初產(chǎn)婦20例，經(jīng)產(chǎn)婦17例；觀察組37例，年齡23～36歲，平均年齡（28.5±3.2）歲，孕周31～41周，平均孕周（36.4±2.4）周，初產(chǎn)婦21例，經(jīng)產(chǎn)婦16例。本次研究我院倫理委員會已批準，兩組患者均同意參與本次研究。

1.2方法

對照組給予常規(guī)治療和護理。……