妊娠糖尿病产妇分娩新生儿低血糖的护理

Nursing Care of Hypoglycemia in the Delivery of Neonates with Gestational Diabetes Mellitus

目的分析探究妊娠糖尿病产妇分娩新生儿低血糖的护理。方法选取2018年7月至2019年7月收治的52例妊娠糖尿病产妇分娩的新生儿为研究对象,通过积极护理干预查看患儿低血糖发生时间以及临床护理效果。结果通过监测新生儿各时间段血糖值发现,0~2 h发生率为50.00%,3~6 h发生率为23.08%,7~12 h发生率为11.54%,13~24 h发生率为7.69%,25~48 h发生率为5.77%,49~72 h发生率为1.92%。其中新生儿出生0~2 h发生低血糖人数最多占50.00%,新生儿49~72 h发生低血糖人数最少占1.92%;52例新生儿护理干预后血糖平均值与血糖恢复时间均符合临床护理要求。结论妊娠糖尿病产妇在分娩过程中无论是否使用胰岛素进行治疗,新生儿出生都需要在出生3 h以内进行血糖监测,同时对妊娠糖尿病产妇分娩的新生儿低血糖予以护理,改善新生儿低血糖病症。

Objective To analyze and explore the nursing of hypoglycemia in pregnant women with gestational diabetes mellitus.Methods Fifty-two neonates with gestational diabetes who were admitted to the hospital from July 2018 to July 2019 were selected as the research object,and the time of hypoglycemia and the clinical nursing eff ect were observed through active nursing intervention.Results The incidence of 0-2 h,3-6 h,7-12 h,13-24 h,25-48 h,and 49-72 h was 50.00%,23.08%,11.54%,7.69%,5.77%,and 1.92%,respectively.Among them,the number of newborns with hypoglycemia from 0 to 2 h accounted for 50.00%at most,and the number of newborns with hypoglycemia from 49 h to 72 h accounted for 1.92%at least.The mean value of blood glucose and the recovery time of blood glucose in 52 neonates after nursing intervention were consistent with the requirements of clinical nursing.Conclusion Gestational diabetes mellitus(GDM)mothers should monitor blood glucose within 3 hours of birth regardless of whether they use insulin during delivery.Meanwhile,care should be given to the newborns with GDM to improve the symptoms of neonatal hypoglycemia.