摘要
目的探讨缩短禁食禁饮时间对妊娠期糖尿病产妇剖宫产结局的影响。方法按时间段将100例妊娠期糖尿病剖宫产产妇分为两组各50例。对照组术前禁食8 h,禁饮6 h;观察组术前禁食6 h,禁饮2 h。结果观察组术前空腹血糖水平与对照组比较,差异有统计学意义(P <0. 01);观察组产妇术中出血量、肛门排气时间少于和短于对照组(P <0. 05,P <0. 01);观察组新生儿出生后血糖值高于对照组、低血糖发生率低于对照组(均P <0. 05);观察组术前口渴、饥饿、焦虑程度显著轻于对照组(P <0. 05,P <0. 01)。结论术前禁食6 h、禁饮2 h应用于妊娠期糖尿病剖宫产产妇可稳定其血糖水平,降低产妇术前低血糖及新生儿低血糖发生率,提高产妇舒适度,促进术后身体恢复。
Objective To investigate the effect of shortened fasting time before Caesarean section on delivery outcomes of women with gestational diabetes mellitus( GDM). Methods A total of 100 GDM cases were divided into 2 groups of 55 each according to admission orders.The control group were subjected to an 8 h no food and 6 h no drink fasting regimen while the observation group to a 6 h no food and 2 h no drink regimen,before Caesarean section. Results The level of fasting blood glucose in the observation group was significantly different from that in the control group( P < 0. 01). The blood loss volume during the procedure was less and the time to gas passage was shorter in the observation group than in the control group( P < 0. 05 for both). Blood glucose of the newborns in the former was higher,and incidence rate of hypoglycemia was lower,than those of the latter group( P < 0. 05 for both). The levels of thirst,hunger and anxiety in the observation group were significantly milder than those in the control group( P < 0. 05 for all). Conclusion The 6 h no food and 2 h no drink fasting regimen before Caesarean section can stabilize blood glucose level of GDM women,reduce incidence rates of preoperative hypoglycemia and neonatal hypoglycemia,improve maternal comfort,and promote postoperative physical recovery.
作者
许佳
赵敏
Xu Jia;Zhao Min(Wuxi Maternal and Child Health Hospital,Wuxi 214000,China)
出处
《护理学杂志》
CSCD
北大核心
2019年第5期29-31,共3页
Journal of Nursing Science
基金
国家自然科学基金(青年科学基金)资助项目(81100437)
关键词
妊娠期糖尿病
剖宫产
禁食禁饮时间
血糖
妊娠结局
不良反应
gestational diabetes mellitus
Caesarean section
fasting time
blood sugar
pregnancy outcome
adverse reactions