妊娠期糖尿病產(chǎn)前護(hù)理干預(yù)對(duì)患者并發(fā)癥的影響評(píng)價(jià)

涂玉丹

[摘要] 目的 研究妊娠期糖尿病產(chǎn)前護(hù)理干預(yù)對(duì)患者并發(fā)癥的影響。方法 根據(jù)隨機(jī)數(shù)字表法將2018年1—12月期間該院接收的妊娠期糖尿病患者76例分為兩組，對(duì)照組38例實(shí)施常規(guī)護(hù)理，觀察組38例采取產(chǎn)前護(hù)理干預(yù)。將兩組的血糖水平、分娩方式、產(chǎn)婦并發(fā)癥進(jìn)行比對(duì)。 結(jié)果 觀察組干預(yù)后的空腹血糖、餐后2 h血糖水平均低于對(duì)照組（t=11.354、5.975，P=0.001、0.001），圍生期并發(fā)癥發(fā)生率、剖宮產(chǎn)率低于對(duì)照組（χ2=8.610、6.176、6.514、5.029、10.431，P=0.003、0.013、0.011、0.025、0.001）。結(jié)論 對(duì)妊娠期糖尿病患者加強(qiáng)產(chǎn)前護(hù)理干預(yù)有助于提高血糖控制效果，可降低產(chǎn)婦并發(fā)癥發(fā)生率，優(yōu)化妊娠結(jié)局。

[關(guān)鍵詞] 妊娠期糖尿病;護(hù)理;并發(fā)癥

[中圖分類號(hào)] R47? ? ? ? ? [文獻(xiàn)標(biāo)識(shí)碼] A? ? ? ? ? [文章編號(hào)] 1672-4062（2020）02（b）-0163-03

[Abstract] Objective To study the effect of antenatal nursing intervention on complication in patients with gestational diabetes. Methods According to the random number table method， 76 cases of gestational diabetes patients received in our hospital from January 2018 to December 2018 were divided into two groups， 38 cases in the control group received routine care， and 38 cases in the observation group received prenatal care intervention. The blood glucose levels， delivery methods， and maternal complications were compared between the two groups. Results The fasting blood glucose and 2 h postprandial blood glucose levels in the observation group were lower than those in the control group（t=11.354， 5.975， P=0.001， 0.001）， perinatal complications and cesarean section rates were lower than those in the control group（χ2=8.610， 6.176， 6.514， 5.029， 10.431， P=0.003， 0.013， 0.011， 0.025，0.001）. Conclusion Strengthening prenatal care interventions for gestational diabetes patients can help improve blood glucose control， reduce maternal complications， and optimize pregnancy outcomes.

[Key words] Gestational diabetes; Nursing; Complications

糖尿病是臨床常見(jiàn)且多發(fā)的慢性全身性疾病，會(huì)對(duì)全身各個(gè)器官、系統(tǒng)造成不同程度的損害。妊娠期糖尿病是指妊娠前糖代謝正常或有潛在糖耐量減退、妊娠期才出現(xiàn)或確診的糖尿病。妊娠期糖尿病的發(fā)生率在近年來(lái)呈現(xiàn)增長(zhǎng)趨勢(shì)，為產(chǎn)科并發(fā)癥中較為常見(jiàn)的一種[1-2]。妊娠期糖尿病的發(fā)生同孕婦的生活方式、遺傳、肥胖等因素相關(guān)，會(huì)增加圍生期并發(fā)癥發(fā)生風(fēng)險(xiǎn)，對(duì)母嬰生命安全造成較大的威脅[3-4]。以往的常規(guī)護(hù)理所取得效果并不理想，而在產(chǎn)前加強(qiáng)干預(yù)和護(hù)理，對(duì)于母嬰預(yù)后的改善具有積極作用。該文對(duì)產(chǎn)前護(hù)理干預(yù)在該病患者中的應(yīng)用效果進(jìn)行分析，特?fù)袢?018年1—12月期間收治的妊娠期糖尿病患者76例進(jìn)行對(duì)照研究。現(xiàn)報(bào)道如下

1? 資料與方法

1.1? 一般資料

將在該院就診的妊娠期糖尿病患者76例按照隨機(jī)數(shù)字表法分為例數(shù)相同的兩組。……