妊娠期糖尿病孕妇血糖控制与护理干预分析

Analysis of Blood Glucose Control and Nursing Intervention in Gestational Diabetes Mellitus

目的分析妊娠期糖尿病（GDM）孕妇血糖控制与护理干预。方法回顾性分析我院2014年3月～2015年3月收治的130例GDM患者临床资料，根据不同护理方案分为两纽（各65例）；对照组行常规护理，研究组行血糖控制与护理干预，比较两组血糖控制情况、妊娠并发症及新生儿结局。结果干预后研究组FBG、2hPG、HbA1c改善程度较之对照组更佳，均具统计学意义（P〈0．05）；研究组妊娠并发症总发生率4．16％比对照组29．23％低，且巨大儿、高胆红素血症发生率均比对照组低（P〈0．05）。结论科学有效的护理干预应用于GDM患者，可有效控制其血糖水平，减少孕妇并发症的发生，并改善新生儿结局。

Objective To analyze the blood glucose control and nursing intervention in the gestational diabetes mellitus （GDM）. Methods A retrospective analysis of our hospital in March 2013 and 2015 March treated 130 cases of GDM patients clinical data, according to different nursing program divided into two group （65 cases in each group）, the control group received routine nursing care, study group underwent blood glucose control and nursing intervention, compared two groups of blood glucose control, pregnancy complications and neonatal outcome.Results Intervention study group FBG, 2 hPG, HbAle improved degree compared with the control group better, with significant difference （P〈0.05）, the study group overall incidence of pregnancy complications 4.16% lower than the control group 29.23%, and a huge children, hyperbilirubinemia incidence rate lower than the control group （P〈0.05）. Conclusion Scientific and effective nursing intervention for patients with GDM can effectively control the blood glucose level, reduce the incidence of maternal complications and improve the neonatal outcome.