孕期护理干预对妊娠期糖尿病患者妊娠结局的影响

The Effect of Nursing Intervention During Pregnancy on Pregnancy Outcome in Patients With Gestational Diabetes

目的探讨妊娠糖尿病患者妊娠期护理干预,分析护理干预对患者妊娠结局的影响。方法选取我院2016年5月—2017年10月收治的92例妊娠期糖尿病患者作为研究对象。将其随机分成对照组和观察组,每组各46例。两组患者采用不同的护理方式进行干预,对照组患者采用常规护理干预,观察组患者采用孕期护理干预,比较两组患者的妊娠结局和围生期并发症情况。结果对照组和观察组的剖宫产率对比,差异无统计学意义(P> 0.05)。产后高胆红素血症、畸形儿、胎儿窘迫、巨大儿和死胎的发生率,观察组低于对照组,差异具有统计学意义(P <0.05)。观察组患者产后羊水过多、妊娠高血压综合征、出血、剖宫产和生殖道感染发生概率均低于对照组,差异均具有统计学意义(P <0.05)。结论在孕期对妊娠期糖尿病患者进行护理干预,可以显著降低围生期并发症的发生率,改善妊娠结果。

Objective To explore the nursing intervention of gestational diabetes in patients with gestational diabetes, and to analyze the effect of nursing intervention on the outcome of pregnancy. Method 92 cases of gestational diabetes mellitus treated in our hospital from May 2016 to October 2017 were selected as the research subjects. They were randomly divided into the control group and the observation group, 46 cases in each group. Two groups of patients were treated with different nursing methods. Patients in the control group received routine nursing intervention. Patients in the observation group were given nursing intervention during pregnancy. The pregnancy outcomes and perinatal complications of the two groups were compared. Results There was no signifcant difference in the cesarean section rate between the control group and the observation group （P 〉 0.05）. The incidence of postpartum hyperbilirubinemia, malformation, fetal distress, macrosomia and stillbirth in the observation group was lower than that in the control group, the difference was statistically significant （P 〈 0.05）. The incidence of postpartum amniotic fuid hyperhydramnios, pregnancy-induced hypertension syndrome, bleeding, cesarean section and genital tract infection in the observation group were lower than those in the control group, the difference was statistically signifcant （P 〈 0.05）. Conclusion During pregnancy, nursing intervention for patients with gestational diabetes can significantly reduce the probability of perinatal complications, improve pregnancy outcomes.