综合护理对妊娠期糖尿病母婴结局的相关分析

Correlation analysis of comprehensive nursing on maternal and infant outcomes of gestational diabetes mellitus

目的探讨综合护理对妊娠期糖尿病母婴结局产生的影响,以提高妊娠期糖尿病临床的护理能力,使患者血糖得以良好控制,获得良好的妊娠结局。方法选取2019年2月—2022年5月大田县总医院收治的103例妊娠期糖尿病患者为研究主体,将其通过随机数字表法分为对照组52例和观察组51例,对照组给予常规护理,观察组给予综合护理。比较两组患者的血糖控制情况(空腹血糖和餐后2 h血糖)及母婴不良结局(早产、产后出血、胎儿宫内窘迫、宫内生长发育缓慢和新生儿窒息等)。结果护理前,两组空腹血糖、餐后2 h血糖差异无统计学意义(P>0.05);护理后,两组空腹血糖、餐后2 h血糖均可见明显下降趋势,且观察组血糖水平低于对照组,差异均有统计学意义(P<0.05)。观察组母婴不良结局发生率为7.84%,低于对照组的25.00%,差异有统计学意义(χ^(2)=5.500,P<0.05)。结论妊娠期糖尿病患者采取综合护理后,有助于更好地控制血糖水平,且取得良好的母婴结局,可见综合护理措施优势明显,值得临床推广应用。

Objective To explore the influence of comprehensive nursing on the maternal and infant outcomes of gestational diabetes mellitus(GDM),so as to improve the clinical nursing ability of GDM,make the patients’blood sugar well controlled and obtain a good pregnancy outcome.Methods A total of103 patients with GDM admitted to Datian County General Hospital from February 2019 to May 2022 were selected as the study subjects,and they were divided into the control group with 52 cases and the observation group with 51 cases according to random number table method.The control group was given routine nursing,and the observation group was given comprehensive nursing,The blood glucose control(fasting blood glucose and 2 h postprandial blood glucose)and adverse maternal and infant outcomes(premature delivery,postpartum hemorrhage,fetal distress,intrauterine growth and slow development,neonatal asphyxia,etc.)were compared between the two groups.Results Before nursing,there was no significant difference between the two groups in fasting blood glucose and 2 h postprandial blood glucose(P>0.05).After nursing,the fasting blood glucose and 2 h postprandial blood glucose in the two groups showed a significant downward trend,and the blood glucose level in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).The incidence of adverse maternal and infant outcomes in the observation group was 7.84%,which was lower than 25.00% in the control group,and the difference was statistically significant(χ^(2)=5.500,P<0.05).Conclusion Comprehensive nursing for patients with GDM was helpful to better control the blood sugar level and achieve good maternal and infant outcomes.It could be seen that comprehensive nursing measures had obvious advantages and were worthy of clinical promotion and application.