妊娠期糖尿病患者实施个体化围生期护理的分析

Analysis of individualized perinatal nursing for gestational diabetes mellitus patients

目的 研究个体化围生期护理在妊娠期糖尿病患者护理中的应用效果。方法 选取80例妊娠期糖尿病患者作为研究对象,采用随机数字表法将其分为对照组与观察组,各40例。对照组实施常规围生期护理,观察组实施个体化围生期护理,比较两组患者护理前后的血糖水平、产妇并发症发生率、新生儿并发症发生率。结果 两组护理前的空腹血糖、餐后2 h血糖、糖化血红蛋白水平比较,差异无统计学意义(P>0.05);两组患者护理后的空腹血糖、餐后2 h血糖、糖化血红蛋白水平均显著低于护理前,且观察组护理后的空腹血糖[(5.24±1.22)mmol/L]、餐后2 h血糖[(7.95±1.16)mmol/L]、糖化血红蛋白[(5.25±1.06)%]水平均显著低于对照组[(6.84±1.24)mmol/L、(9.42±1.06)mmol/L、(7.15±1.06)%],差异有统计学意义(P<0.05)。观察组的产妇并发症发生率(5.0%)显著低于对照组(20.0%),新生儿并发症发生率(2.50%)显著低于对照组(15.0%),差异有统计学意义(P<0.05)。结论 对妊娠期糖尿病患者实施个体化围生期护理既有利于平稳控糖,又有利于预防和降低母婴不良结局发生率,值得临床进一步推广应用。

Objective To study the application effect of individualized perinatal nursing in the nursing of gestational diabetes mellitus(GDM) patients.Methods A total of 80 patients with GDM were selected as research objects and divided into the control group and the observation group by random number table method,with 40 cases in each group.The control group received routine perinatal nursing,and the observation group received individualized perinatal nursing.The blood glucose level,the incidence of maternal complications and the incidence of neonatal complications before and after nursing were compared between the two groups.Results There were no statistical significance in the levels of fasting blood glucose,2 h postprandial blood glucose and glycosylated hemoglobin between the two groups before nursing(P>0.05).The levels of fasting blood glucose,2 h postprandial blood glucose and glycosylated hemoglobin in the two groups after nursing were significantly lower than those before nursing,in addition,the fasting blood glucose [(5.24±1.22)mmol/L] and 2 after meal h levels of blood glucose [(7.95±1.16)mmol/L] and HBA1c [(5.25±1.06) %] in the observation group after nursing were significantly lower than those of the control group [(6.84±1.24)mmol/L,(9.42±1.06)mmol/L,(7.15±1.06)%],the differences were statistically significant(P<0.05).The incidence of maternal complications in the observation group(5.0%) was significantly lower than that in the control group(20.0%),and the incidence of neonatal complications in the observation group(2.50%) was significantly lower than that in the control group(15.0%),the differences were statistically significant(P<0.05).Conclusion The implementation of individualized perinatal nursing for GDM patients is not only conducive to stable sugar control,but also conducive to preventing and reducing the incidence of adverse outcomes of maternal and infant,which is worthy of further clinical promotion and application.