早期护理干预对妊娠期糖尿病患者妊娠结局的影响研究

Study on the Effect of Early Nursing Intervention on Pregnancy Outcome of Patients with Gestational Diabetes

目的分析妊娠期糖尿病患者行不同护理方案干预的价值。方法该院妇产科收治2018年6月—2019年12月,选择妊娠期糖尿病患者118例,观察组(n=59)开展早期护理干预,对照组(n=59)予以妇产科常规干预,将两组患者血糖水平、产妇并发症、新生儿并发症发生情况进行对比。结果观察组空腹血糖(4.70±0.80)mmol/L、早餐后2 h血糖(6.40±0.70)mmol/L、中餐后2 h血糖(6.00±1.60)mmol/L、晚餐后2 h血糖(6.10±1.20)mmol/L;对照组空腹血糖(5.00±0.80)mmol/L、早餐后2 h血糖(7.60±1.20)mmol/L、中餐后2 h血糖(7.30±0.80)mmol/L、晚餐后2 h血糖(7.60±1.90)mmol/L,差异有统计学意义(t=2.037、6.635、5.582、5.127,P<0.05);观察组酮症酸中毒1.69%(1/59)、羊水过多1.69%(1/59)、围生期高血压1.69%(1/59);对照组酮症酸中毒13.55%(8/59)、羊水过多16.94%(10/59)、围生期高血压13.55%(8/59),差异有统计学意义(χ^(2)=5.894、8.121、5.894,P<0.05);观察组新生儿呼吸窘迫综合征1.69%(1/59)、窒息1.69%(1/59);对照组新生儿呼吸窘迫综合征13.55%(8/59)、窒息15.25%(9/59),差异有统计学意义(χ^(2)=5.894、6.993,P<0.05)。结论妊娠期糖尿病行早期护理干预的疗效较高,可稳定患者血糖,改善患者妊娠结局,减少新生儿并发症,促进产妇产后康复,临床应用价值较高。

Objective To analyze the value of different nursing interventions for patients with gestational diabetes.Methods From June 2018 to December 2019,118 patients with gestational diabetes were selected in the obstetrics and gynecology department of this hospital.The observation group(n=59)carried out early nursing intervention,and the control group(n=59)received routine intervention in obstetrics and gynecology,compared the blood glucose levels,maternal complications,and neonatal complications between the two groups of patients.Results The observation group had fasting blood glucose(4.70±0.80)mmol/L,2 h blood glucose after breakfast(6.40±0.70)mmol/L,2 h blood glucose after lunch(6.00±1.60)mmol/L,and 2 h blood glucose after dinner(6.10±1.20)mmol/L,control group fasting blood glucose(5.00±0.80)mmol/L,2h blood glucose after breakfast(7.60±1.20)mmol/L,2 h blood glucose after lunch(7.30±0.80)mmol/L,after dinner 2 h blood glucose(7.60±1.90)mmol/L,the difference was statistically significant(t=2.037,6.635,5.582,5.127,P<0.05);the observation group had 1.69%(1/59)of ketoacidosis and 1.69%(1/59)of polyhydramnios,perinatal hypertension 1.69%(1/59);the control group ketoacidosis 13.55%(8/59),polyhydramnios 16.94%(10/59),perinatal hypertension 13.55%(8/59),the difference was statistically significant(χ^(2)=5.894,8.121,5.894,P<0.05);the observation group neonatal respiratory distress syndrome 1.69%(1/59),asphyxia 1.69%(1/59);in the control group,neonatal respiratory distress syndrome was 13.55%(8/59),asphyxia 15.25%(9/59),the difference was statistically significant(χ^(2)=5.894,6.993,P<0.05).Conclusion Early nursing intervention for gestational diabetes has a high effect,which can stabilize the patient's blood glucose,improve the patient's pregnancy outcome,reduce neonatal complications,and promote the postpartum rehabilitation of the parturient.The clinical application value is high.